SALT LAKE COUNTY YOUTH SERVICES (NPI# 1639589344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639589344 |
Entity Type | Organization |
Organization Name | SALT LAKE COUNTY YOUTH SERVICES |
Practice Address |
177 W Price Ave Salt Lake City UT 84115-4345 |
Practice Telephone | 3854684500 |
Practice Fax Number | 3854684461 |
Mailing Telephone | 3854684500 |
Mailing Fax Number | 3854684461 |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |
Authorized Official Name | DEBBIE OSBORNE (COUNSELING SERVICES COORDINATOR) |
Authorized Official Telephone | 3854684519 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1558665026 | UT | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1558665026 | 05 |
Street Address |
177 W PRICE AVE |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84115-4345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275837288 | Morgan Vern Snow | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2011-01-05 |
1114552726 | Brandi Sandoval | Counselor | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2020-03-04 |
1568926186 | Timothy Andrew Aragon | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2019-01-28 |
1538666102 | Caitlin Adams | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2018-04-10 |
1407300379 | Drew Barton | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2016-08-09 |
1407254261 | Salt Lake County Division of Youth Services | Community/Behavioral Health | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2014-12-10 |
1407263528 | Sam Huppi | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2014-07-21 |
1235558180 | Mary Gully | Case Management | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2014-04-08 |
1104268440 | Maria Laura Drummond | Specialist | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2013-07-29 |
1336584085 | Satl Lake County | Case Manager/Care Coordinator | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2013-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
Find all providers in zip 84115 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427425859 | Gateway Academy, LLC | Community Based Residential Treatment Facility, Mental Illness | 2487 S 700 E, Salt Lake City, UT 84106-1722 | 2015-09-02 |
1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
1477576684 | New Life Centers, LLC | Community Based Residential Treatment Facility, Mental Illness | 1255 E 3900 S, Salt Lake City, UT 84124-1334 | 2006-07-26 |
1003151416 | Allyson Evans | Community Based Residential Treatment Facility, Mental Illness | 252 S 500 E, Salt Lake City, UT 84102-2030 | 2012-12-11 |
1467717918 | Valley Mental Health | Community Based Residential Treatment Facility, Mental Illness | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2012-07-11 |
1427330968 | Eva Carlston Academy | Community Based Residential Treatment Facility, Mental Illness | 4943 Wasatch Blvd, Salt Lake City, UT 84124-4798 | 2011-09-11 |
1770889255 | Cornerstone Counseling | Community Based Residential Treatment Facility, Mental Illness | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2011-02-01 |
1124139654 | Ensign Peak Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2880 W 4700 S, Suite B, Salt Lake City, UT 84118-2156 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144872516 | Davis Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 2250 N Robins Dr, Layton, UT 84041-1140 | 2019-07-15 |
1710444245 | New Focus Academy | Community Based Residential Treatment Facility, Mental Illness | 1268 N Valley Heights Cir, Heber City, UT 84032-4591 | 2019-02-20 |
1871066365 | Sundance Canyon East | Community Based Residential Treatment Facility, Mental Illness | 11457 S 700 W, Draper, UT 84020-9426 | 2019-01-07 |
1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
1932646148 | Canyon River Ranch | Community Based Residential Treatment Facility, Mental Illness | 244 Ogden Cyn, Ogden, UT 84401-0958 | 2017-01-25 |
1629513833 | Telos | Community Based Residential Treatment Facility, Mental Illness | 661 S 1200 W, Orem, UT 84058-5817 | 2016-12-23 |
1982150256 | Sequel Youth Services of Falcon Ridge Ranch | Community Based Residential Treatment Facility, Mental Illness | 633 East Highway, Virgin, UT 84779 | 2016-08-28 |
1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
1942667597 | Mosaic House- Certs | Community Based Residential Treatment Facility, Mental Illness | 1488 E Vine St, Murray, UT 84121-1958 | 2016-01-26 |
1366863185 | Pine Ridge Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 10380 East 22000 North, Fairview, UT 84629 | 2013-12-20 |
Find all providers with the same taxonomy |
City | SALT LAKE CITY |
Zip Code | 84115 |
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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.