RITE OF PASSAGE, INC (NPI# 1215473699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215473699 |
| Entity Type | Organization |
| Organization Name | RITE OF PASSAGE, INC |
| Practice Address |
862 S Main St Ste 4 Brigham City UT 84302-3389 |
| Practice Telephone | 7753922657 |
| Practice Fax Number | 7753922544 |
| Mailing Telephone | 7753922657 |
| Mailing Fax Number | 7753922544 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | MR. JAMES BROMAN (CEO) |
| Authorized Official Telephone | 7752679411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851824213 | Rite of Passage, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1590 12th St, Alamosa, CO 81101-3701 | 2017-04-04 |
| 1730611146 | Rite of Passage, Inc | Community Based Residential Treatment Facility, Mental Illness | 5924 Us Highway 285, Morrison, CO 80465-9101 | 2017-04-03 |
| 1932731411 | Rite of Passage, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5924 Us Highway 285, Morrison, CO 80465-9101 | 2020-02-12 |
| 1417363177 | Rite of Passage, Inc | Community/Behavioral Health | 10625 Calhoun Rd, Omaha, NE 68112-1324 | 2014-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | RITE OF PASSAGE, INC. | 2560 Business Parkway, Ste. A, Minden, NV 89423 |
| Colorado Business Entities | RITE OF PASSAGE, INC. | 1561 Hwy 395, Minden, NV 89423 |
| Street Address |
862 S MAIN ST STE 4 |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285940080 | James Ribera | Foster Care Agency | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2010-08-31 |
| 1952897605 | Michelle Jensen | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2018-07-05 |
| 1184126740 | Lauren Booth | Community Health Worker | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2018-02-28 |
| 1235641499 | Robert Winters | Behavior Technician | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-10-27 |
| 1598284085 | Tyler Ryan Barnard | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-09-15 |
| 1215456033 | Austin Blaine Allen | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-09-13 |
| 1689199572 | Gregory Jerome Steed | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-08-11 |
| 1811419831 | Wade Lavar Boring | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-07-11 |
| 1770022444 | Collin Gibby | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-02-14 |
| 1851830715 | Courtney Smith | Counselor | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407112667 | Youth Track Inc | Residential Treatment Facility, Emotionally Disturbed Children | 862 S, Suite 4, Brigham City, UT 84302 | 2012-04-02 |
| 1477958981 | Apex Youth Services Excel | Residential Treatment Facility, Emotionally Disturbed Children | 82 S 800 W, Brigham City, UT 84302-2400 | 2014-10-27 |
| 1679861108 | Michael Steven Canning Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 862 S Main St, Brigham City, UT 84302-3320 | 2011-07-18 |
| 1427351972 | Michael Lynn Cunningham | Residential Treatment Facility, Emotionally Disturbed Children | 62 S 950 W, Brigham City, UT 84302-4424 | 2010-12-06 |
| 1326340175 | Ryan Read Jones | Residential Treatment Facility, Emotionally Disturbed Children | 62 S 950 W, Brigham City, UT 84302-4424 | 2010-11-30 |
| 1821390261 | Robert Shane Strong | Residential Treatment Facility, Emotionally Disturbed Children | 58 S 950 W, Brigham City, UT 84302-4424 | 2010-11-17 |
| 1982925780 | Triumph Academy Inc | Residential Treatment Facility, Emotionally Disturbed Children | 62 S 950 W, Brigham City, UT 84302-4424 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 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 |
| 1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
| 1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
| 1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
| 1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
| 1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
| 1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
| 1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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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.