Susan Kelly Niebaum
PMHNP-BC | Nurse Practitioner - Psych/Mental Health
408 E Kelsey View Ln, South Salt Lake
Utah, 84115-4979
406-212-2177
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 Number | Specialization | State | Status | |
| 12585557-4405 | Psych/Mental Health | Utah | Primary | |
| 16869 | Registered Nurse | Montana | Secondary | |
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.