Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mindbloom Evaluation & Consultation

Organization Psychologist · NPI 1801774641

Mindbloom Evaluation & Consultation is a Psychologist in West Jordan, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4848 W Thrush Hill Dr Ste 270
West Jordan, UT 84081-4126
Phone: (801) 755-9196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1801774641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taryn Nicksic-Springer — Owner · (801) 755-9196
Other names Mindbloom Evaluations & Consultation
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address4848 W Thrush Hill Dr Ste 270, West Jordan, UT 84081-4126

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