UNIVERSAL HEALTH SYSTEMS (NPI# 1255974085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255974085 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL HEALTH SYSTEMS |
| Practice Address |
4501 N University Ave Provo UT 84604-5504 |
| Practice Telephone | 8019326364 |
| Mailing Telephone | 8019322532 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | MAX AH QUIN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8019322544 |
| Authorized Official Credential | CMHC |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVO CANYON SCHOOL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Provo Canyon School | Doing Business As Name - Organization |
| Provo Canyon School | Other Name - Individual/Organization |
| Street Address |
4501 N UNIVERSITY AVE |
| City | PROVO |
| State | UT |
| Zip Code | 84604-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609843523 | Uhs Provo Canyon Inc | Psychiatric Residential Treatment Facility | 4501 N University Ave, Provo, UT 84604-5504 | 2006-03-01 |
| 1093334070 | Steve Murdock | Counselor | 4501 N University Ave, Provo, UT 84604-5504 | 2020-04-10 |
| 1407482482 | Laraine Murdock | Social Worker | 4501 N University Ave, Provo, UT 84604-5504 | 2020-03-21 |
| 1881237352 | Lauren Owens | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-28 |
| 1659914356 | Tack D Macgregor | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1457994162 | Timothy W Bartell | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1346883915 | Jone Lokahi D.t.l. Vuikadavu | Counselor | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1619510575 | Shawn Kraling | Licensed Practical Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1164907317 | Sharron Marie Lundeen | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245792167 | Adrienne Lowden Dejager | Counselor | 314 S 1350 E, Provo, UT 84606-5318 | 2019-04-01 |
| 1699255315 | Michele Mcconkie Erekson | Counselor | 2545 N Canyon Rd Ste 112, Provo, UT 84604-5972 | 2018-08-21 |
| 1861980385 | Cory Bushman | Counselor | 455 N University Ave Ste 210, Provo, UT 84601-2868 | 2018-04-30 |
| 1013425594 | Tamara S Hill | Counselor | 3325 N University Ave Ste 275, Provo, UT 84604-7415 | 2018-01-18 |
| 1992150478 | Tristin Roney | Counselor | 1942 N 3100 W, Provo, UT 84601-5941 | 2016-05-03 |
| 1659760411 | Affinity Guidance Services, Inc | Counselor | 1971 N State St, Provo, UT 84604-1012 | 2015-01-16 |
| 1326460445 | Daniel Solen | Counselor | 2230 N University Pkwy Ste 11d, Provo, UT 84604-1583 | 2014-01-08 |
| 1235550526 | Richard James Bryan | Counselor | 567 N 2620 W, Provo, UT 84601-1187 | 2014-01-03 |
| 1508287947 | Ann Weight | Counselor | 4455 Wimbledon Dr, Provo, UT 84604-5394 | 2014-01-03 |
| 1508118456 | Linda Marie Taylor | Counselor | 719 N 1890 W Ste 38b, Provo, UT 84601-1333 | 2012-10-02 |
| Find all providers in PROVO | ||||
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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.