HILLTOP MEDICAL CLINIC, LLC (NPI# 1255860250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255860250 |
| Entity Type | Organization |
| Organization Name | HILLTOP MEDICAL CLINIC, LLC |
| Practice Address |
2450 E Fort Union Blvd Cottonwood Heights UT 84121-3337 |
| Practice Telephone | 8016695888 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | ERIC SCHMIDT (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 8016695888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2450 E FORT UNION BLVD |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84121-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092124 | Christine Ann Andrus | Dietitian, Registered | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-09-13 |
| 1518453885 | Rachel Jeanne Gitlin | Social Worker | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337 | 2018-07-10 |
| 1861910549 | Nicole Shaw | Counselor | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417321803 | Brighton Medical Group | Psychologist | 1275 E Fort Union Blvd, Suite 202, Cottonwood Heights, UT 84047-1895 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151033 | Casadee Yvonne Hudson | Psychologist | 2600 N Main St Ste 200, North Logan, UT 84341-1510 | 2019-08-30 |
| 1962054775 | Kenneth Newell | Psychologist | 640 S 1200 W, Orem, UT 84058-5972 | 2019-07-11 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1003323767 | Pure Life Ptg | Psychologist | 7390 S Creek Rd Ste 202, Sandy, UT 84093-6123 | 2018-01-03 |
| 1508211285 | Andrea Lindsay-shaffer | Psychologist | 1630 E Edgecliff Dr, Sandy, UT 84092-4309 | 2016-04-29 |
| 1265899009 | Silver Peak Medical LLC | Psychologist | 1817 S Main St Ste 8, Salt Lake City, UT 84115-7060 | 2016-01-25 |
| 1770502379 | Mark D. Worthen | Psychologist | 1182 Center Dr Ste D160, Park City, UT 84098-1287 | 2006-07-18 |
| 1134586654 | Randy K Moss | Psychologist | 447 N 300 W, Kaysville, UT 84037-4203 | 2016-01-28 |
| 1346670221 | Sadie Alexandra Young | Psychologist | 344 East 100 South, Ste 301, Salt Lake City, UT 84111 | 2013-11-14 |
| 1194070276 | University of Utah | Psychologist | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84121 |
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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.