OXBOW ACADEMY, INC. (NPI# 1215123567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215123567 |
| Entity Type | Organization |
| Organization Name | OXBOW ACADEMY, INC. |
| Practice Address |
757 S Main St Springville UT 84663-2452 |
| Practice Telephone | 8014912270 |
| Mailing Telephone | 8014912270 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | DANE KAY (ADMINISTRATOR) |
| Authorized Official Telephone | 8014912270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
757 S MAIN ST |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821510512 | Ethan Crisp | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2017-07-13 |
| 1699296939 | Jesse Stroud | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2017-06-27 |
| 1861944985 | Ivy Academy, Inc Discovery Academy | Psychiatric Residential Treatment Facility | 757 S Main St, Springville, UT 84663-2452 | 2016-10-25 |
| 1164970869 | Redwood Grove Diagnostics & Transitions LLC | Social Worker | 757 S Main St, Springville, UT 84663-2452 | 2016-09-12 |
| 1730538471 | Steve Allred | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-06-03 |
| 1891144531 | Kelli Ladig | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-06-03 |
| 1033565130 | Joel Perez | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-05-06 |
| 1497101596 | Dale Mikesell | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-05-06 |
| 1902251986 | Trevor Ross | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-04-27 |
| 1588076905 | Josh Marshall | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437609039 | Chris Bodmer | Community Based Residential Treatment Facility, Mental Illness | 330 E 400 S Ste 2, Springville, UT 84663-2082 | 2016-10-06 |
| 1386962934 | Ascent, Inc. | Community Based Residential Treatment Facility, Mental Illness | 757 S Main St, Springville, UT 84663-2452 | 2010-05-06 |
| 1104143270 | Glenna Diamond | Community Based Residential Treatment Facility, Mental Illness | 757 S Main St, Springville, UT 84663-2452 | 2010-04-28 |
| 1770805681 | Lumanai, LLC | Community Based Residential Treatment Facility, Mental Illness | 551 N Main St, Springville, UT 84663-1079 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872516 | Davis Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 2250 N Robins Dr, Layton, UT 84041-1140 | 2019-07-15 |
| 1710444245 | New Focus Academy | Community Based Residential Treatment Facility, Mental Illness | 1268 N Valley Heights Cir, Heber City, UT 84032-4591 | 2019-02-20 |
| 1871066365 | Sundance Canyon East | Community Based Residential Treatment Facility, Mental Illness | 11457 S 700 W, Draper, UT 84020-9426 | 2019-01-07 |
| 1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
| 1932646148 | Canyon River Ranch | Community Based Residential Treatment Facility, Mental Illness | 244 Ogden Cyn, Ogden, UT 84401-0958 | 2017-01-25 |
| 1629513833 | Telos | Community Based Residential Treatment Facility, Mental Illness | 661 S 1200 W, Orem, UT 84058-5817 | 2016-12-23 |
| 1982150256 | Sequel Youth Services of Falcon Ridge Ranch | Community Based Residential Treatment Facility, Mental Illness | 633 East Highway, Virgin, UT 84779 | 2016-08-28 |
| 1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
| 1942667597 | Mosaic House- Certs | Community Based Residential Treatment Facility, Mental Illness | 1488 E Vine St, Murray, UT 84121-1958 | 2016-01-26 |
| 1427425859 | Gateway Academy, LLC | Community Based Residential Treatment Facility, Mental Illness | 2487 S 700 E, Salt Lake City, UT 84106-1722 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.