AD Clinical – Community/Behavioral Health Agency, NPI 1689899171

AD Clinical is a healthcare provider. based in Sandy, Utah. specializing in Community/Behavioral Health Agency. The organization holds a License No. 12555 (UT). The NPI Number for AD Clinical is 1689899171

Main info

Organization
Name
AD Clinical
NPI
1689899171
Phone
(801) 233-8577
Address
8465 S 700 E
Authorized Official
DR. MICHAEL E DUSOE OWNER DIRECTOR PHD, LCSW
Enumeration Date
17 April 2007
Last Update Date
16 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for AD Clinical

  • 8465 S 700 E

    SANDY, UT 840700501

    Phone: (801) 233-8577

    Fax: (801) 233-8748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050822000224OClinic/Group PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84070)

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Reviews

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Frequently asked questions

Can I verify AD Clinical with an NPI only?
You can start verification with NPI 1689899171 for AD Clinical, then check state licensing separately.
Can I rely on AD Clinical being an active provider?
As of the registry snapshot, AD Clinical is marked active.
What healthcare role does AD Clinical hold?
Scheduling teams often label AD Clinical under Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where should I expect AD Clinical on a map?
Expect Sandy, Utah as a primary anchor for AD Clinical unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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