UHS OF TIMPANOGOS, INC. (NPI# 1467605576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467605576 |
| Entity Type | Organization |
| Organization Name | UHS OF TIMPANOGOS, INC. |
| Other Organization Name | CENTER FOR CHANGE |
| Practice Address |
1790 N State St Orem UT 84057-2025 |
| Practice Telephone | 8012248255 |
| Practice Fax Number | 8012248301 |
| Mailing Telephone | 8012248255 |
| Mailing Fax Number | 8012248301 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | GAY LYNN JONES (INPATIENT BILLING) |
| Authorized Official Telephone | 8012248255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 2006-HOSP-72416 | UT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Center for Change | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | UHS OF TIMPANOGOS, INC. | 367 S Gulph Rd, King of Prussia, PA 19406-3121 |
| Street Address |
1790 N STATE ST |
| City | OREM |
| State | UT |
| Zip Code | 84057-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184689580 | Uhs of Timpanogos, Inc | Psychiatric Hospital | 1790 N State St, Orem, UT 84057-2025 | 2006-04-19 |
| 1720697766 | Angela Kurle | Counselor | 1790 N State St, Orem, UT 84057-2025 | 2020-07-27 |
| 1295357358 | Nicole Nuga | Social Worker | 1790 N State St, Orem, UT 84057-2025 | 2020-05-12 |
| 1366008922 | Crystal Norton | Registered Nurse | 1790 N State St, Orem, UT 84057-2025 | 2019-05-18 |
| 1720568942 | Ashley Taylor Wells | Social Worker | 1790 N State St, Orem, UT 84057-2025 | 2018-08-16 |
| 1124504915 | Heather Marie Dangerfield | Nurse Practitioner | 1790 N State St, Orem, UT 84057-2025 | 2018-07-14 |
| 1447761291 | Shannon Ricks | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2017-10-19 |
| 1063923357 | Christopher Wallace | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2017-10-13 |
| 1992176564 | Melissa Doty | Social Worker | 1790 N State St, Orem, UT 84057-2025 | 2015-10-08 |
| 1609247287 | Rebecca Boyd | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2015-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
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| 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 |
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|---|---|---|---|---|
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| 1508309287 | Telos | Psychiatric Residential Treatment Facility | 870 W Center St, Orem, UT 84057-5202 | 2016-11-29 |
| 1588116834 | Telos U LLC | Psychiatric Residential Treatment Facility | 600 S Geneva Rd, Orem, UT 84058-5803 | 2016-11-02 |
| 1821453200 | Traci Naylor | Psychiatric Residential Treatment Facility | 361 E 1200 S, Orem, UT 84058-6904 | 2015-12-29 |
| 1770896680 | Provo Canyon School | Psychiatric Residential Treatment Facility | 1317 E 750 N, Orem, UT 84097-5480 | 2010-07-20 |
| 1922249242 | Provo Canyon School Inc | Psychiatric Residential Treatment Facility | 1350 E 750 N, Orem, UT 84097-4345 | 2009-03-17 |
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| 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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| 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.