Susan Kelly Niebaum

PMHNP-BC | Nurse Practitioner - Psych/Mental Health

408 E Kelsey View Ln, South Salt Lake
  Utah, 84115-4979
406-212-2177
May or may not accept Medicare Nurse Anesthetist in South Salt Lake, Utah.
Susan Kelly Niebaum is a South Salt Lake, Utah based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Susan Kelly Niebaum is 12585557-4405 for Psych/Mental Health in Utah. Her current practice location is 408 E Kelsey View Ln, South Salt Lake. Patients can reach her at 406-212-2177. Susan Kelly Niebaum is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1861165839.
Susan Kelly Niebaum provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Susan Kelly Niebaum speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Susan Kelly Niebaum
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: PMHNP-BC
Practice Address:408 E Kelsey View Ln, South Salt Lake,
Utah, 84115-4979
Phone:406-212-2177
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1861165839
NPI Enumeration Date: 27 Jul, 2021
NPI Last Update On: 03 Feb, 2022

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Kelly Niebaum are as mentioned below.
License NumberSpecializationStateStatus
12585557-4405Psych/Mental Health UtahPrimary
16869Registered Nurse MontanaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Susan Kelly Niebaum
408 E Kelsey View Ln,
South Salt Lake, Utah
Zip: 84115-4979
Phone Number: 406-212-2177
Patients can reach Susan Kelly Niebaum at 408 E Kelsey View Ln, South Salt Lake, Utah or can call to book an appointment on 406-212-2177.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.