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

Rivendell Clinic LLC

Organization Clinic/Center · NPI 1326745787

Rivendell Clinic LLC is a Clinic/Center in Provo, Utah. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3507 N University Ave Ste 350F
Provo, UT 84604-4478
Phone: (385) 446-5010
Fax: (385) 446-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1326745787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Ingerson — Dr · (385) 985-8423
NPI enumeratedFebruary 15, 2023
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address3507 N University Ave Ste 350f, Provo, UT 84604-4478

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