UHS PROVO CANYON INC (NPI# 1427436401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427436401 |
| Entity Type | Organization |
| Organization Name | UHS PROVO CANYON INC |
| Other Organization Name | PROVO CANYON SCHOOL SPRINGVILLE CAMPUS |
| Practice Address |
763 N 1650 W Springville UT 84663-5066 |
| Practice Telephone | 8012272100 |
| Mailing Telephone | 8012272100 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | STEVE FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 12218/12219 | UT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 131599140 | 05 |
| Other Name | Type Code |
|---|---|
| Provo Canyon School springville Campus | Doing Business As Name - Organization |
| 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 |
| Street Address |
763 N 1650 W |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649342734 | Uhs At Canyon Creek Inc | Psychiatric Residential Treatment Facility | 763 N 1650 W, Springville, UT 84663-5066 | 2006-11-14 |
| 1518501568 | Alyssa Damron | Social Worker | 763 N 1650 W, Springville, UT 84663-5066 | 2019-11-02 |
| 1578107678 | Seth Conrad Chipman | Counselor | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-31 |
| 1164066262 | Kaylea Marie Hopkins | Licensed Practical Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-31 |
| 1588208987 | Tamara Brock | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-30 |
| 1740824200 | Saralynn Morgan | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-28 |
| 1023651635 | Tamara Jo Ferrell | Licensed Practical Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-26 |
| 1033752647 | Heather Merrill | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-26 |
| 1124661822 | Patricia L Kirkman | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-25 |
| 1508409368 | Kimberly Marie Christie | Social Worker | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-24 |
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| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649342734 | Uhs At Canyon Creek Inc | Psychiatric Residential Treatment Facility | 763 N 1650 W, Springville, UT 84663-5066 | 2006-11-14 |
| 1861944985 | Ivy Academy, Inc Discovery Academy | Psychiatric Residential Treatment Facility | 757 S Main St, Springville, UT 84663-2452 | 2016-10-25 |
| 1922139245 | Redcliff Ascent, Inc. | Psychiatric Residential Treatment Facility | 757 S Main St, Springville, UT 84663-2452 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872724 | Care Youth Corporation-lava Heights | Psychiatric Residential Treatment Facility | 730 East Spring Drive, Toquerville, UT 84774-7742 | 2020-08-19 |
| 1053946095 | Recovery Innovations Inc | Psychiatric Residential Treatment Facility | 2411 S 1070 W Ste B, West Valley City, UT 84119-1570 | 2020-03-10 |
| 1518460369 | Uinta Academy Rtc, LLC | Psychiatric Residential Treatment Facility | 3746 S 4800 W, Wellsville, UT 84339-9785 | 2018-03-16 |
| 1679085963 | Zion Hills Academy, Inc. | Psychiatric Residential Treatment Facility | 5088 Veterans Memorial Dr, Enoch, UT 84721-7826 | 2017-10-26 |
| 1174051072 | Bridge House | Psychiatric Residential Treatment Facility | 235 S 200 E, Farmington, UT 84025-2320 | 2017-05-23 |
| 1568900116 | Maple Lake Academy for Boys | Psychiatric Residential Treatment Facility | 6612 S 3200 W, Benjamin, UT 84660-4123 | 2017-02-03 |
| 1619412046 | Awakening Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2973 W 13800 S, Bluffdale, UT 84065-8202 | 2016-12-20 |
| 1245787324 | Sequel Youth Services of Lava Heights | Psychiatric Residential Treatment Facility | 730 E. Spring Drive, Toquerville, UT 84774 | 2016-09-06 |
| 1295188209 | Care Youth Corporation | Psychiatric Residential Treatment Facility | 750 E Sr 9, Virgin, UT 84779-7726 | 2016-07-14 |
| 1184089013 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 3149 E 9800 S, Sandy, UT 84092-4213 | 2015-12-18 |
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| 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.