FORTY-FIVE DEGREES, P.C. (NPI# 1427608421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427608421 |
| Entity Type | Organization |
| Organization Name | FORTY-FIVE DEGREES, P.C. |
| Practice Address |
13533 S Wild Brook Dr Riverton UT 84065-2380 |
| Practice Telephone | 8016169459 |
| Mailing Telephone | 8016169459 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | DR. HEATHER DYEANN HOYAL (PRESIDENT) |
| Authorized Official Telephone | 8016169459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE | 311424-2501 | 01 |
| Street Address |
13533 S WILD BROOK DR |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770066540 | Julie Hanks | Psychologist | 2728 E Casto Ln, Holladay, UT 84117-6305 | 2018-09-07 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1821391970 | Dallas Empey Ph.d., P.C. | Psychologist | 459 N 300 W, Suite 13, Kaysville, UT 84037-4204 | 2010-12-13 |
| 1083846810 | Chris Robert Hughes | Psychologist | 110 N Meadowbrook Dr, Alpine, UT 84004-1775 | 2009-08-12 |
| 1902293939 | Autism Assessment Treatment Program Child | Psychologist | 650 S Komas Dr, Suite 206, Salt Lake City, UT 84108-1215 | 2015-04-16 |
| 1306080544 | Douglas Platt Benson II | Psychologist | 1300 E Center St, Provo, UT 84606-3554 | 2009-04-30 |
| 1134378003 | Nicole Christine Groskreutz | Psychologist | 521 Rockwood Cir, Providence, UT 84332-9477 | 2008-09-16 |
| 1427192087 | John L Kluthe | Psychologist | 4699 Harrison Blvd Ste 300, Ogden, UT 84403-4368 | 2007-02-16 |
| 1255445672 | Quincey Lee Atkin | Psychologist | 390 N Main St, Bountiful, UT 84010-6046 | 2006-08-19 |
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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.