Provider Demographics
NPI:1225839152
Name:ART CITY PSYCHIATRY
Entity type:Organization
Organization Name:ART CITY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAUSTIN
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:801-792-9579
Mailing Address - Street 1:9681 S CINDY CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-1540
Mailing Address - Country:US
Mailing Address - Phone:801-792-9579
Mailing Address - Fax:
Practice Address - Street 1:2880 S MAIN ST SUITE 108
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84115
Practice Address - Country:US
Practice Address - Phone:801-792-9579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty