{"npi":"1659931384","type":"NPI-2","status":"active","name":{"display":"Integrated Clinix","other":[],"organization_name":"INTEGRATED CLINIX","authorised_official":"Spencer Cark"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"103K00000X","description":"Behavior Analyst","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":null,"license":null},{"code":"208D00000X","description":"General Practice","primary":false,"state":null,"license":null},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":null,"license":null},{"code":"225100000X","description":"Physical Therapist","primary":false,"state":null,"license":null},{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":null,"license":null},{"code":"235Z00000X","description":"Speech-Language Pathology","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4337 W OXFORD ST","city":"CEDAR HILLS","state":"UT","postal_code":"840628638","country_code":"US","phone":"8018221880","fax":"8016921595"},{"purpose":"MAILING","street_1":"4337 W OXFORD ST","city":"CEDAR HILLS","state":"UT","postal_code":"840628638","country_code":"US","phone":"8018221880","fax":"8016921595"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200212001248","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"0941636872"},{"enrlmt_id":"O20210715002356","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"0941636872"},{"enrlmt_id":"O20220902002799","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"0941636872"},{"enrlmt_id":"O20220907000343","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"0941636872"},{"enrlmt_id":"O20220908000351","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MS","pac_id":"0941636872"},{"enrlmt_id":"O20220908000851","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OK","pac_id":"0941636872"},{"enrlmt_id":"O20230112002479","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"0941636872"},{"enrlmt_id":"O20230126000300","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"0941636872"},{"enrlmt_id":"O20230223002815","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CO","pac_id":"0941636872"},{"enrlmt_id":"O20230308003042","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"0941636872"},{"enrlmt_id":"O20230309001525","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IA","pac_id":"0941636872"},{"enrlmt_id":"O20230309001768","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KS","pac_id":"0941636872"},{"enrlmt_id":"O20230425002544","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"0941636872"},{"enrlmt_id":"O20230731000606","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"0941636872"}]},"enumeration_date":"2019-06-14","last_updated":"2021-04-29","_meta":{"source":"NPPES","snapshot_date":"2021-04-29","doc_url":"https://findmynpi.com/api"}}