MMTC (NPI# 1689139198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689139198 |
| Entity Type | Organization |
| Organization Name | MMTC |
| Practice Address |
1411 W 1100 N Salt Lake City UT 84116-1634 |
| Practice Telephone | 8014252679 |
| Mailing Telephone | 8014252679 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | MRS. KATHERINE ROSE CHENGAPPA (CEO) |
| Authorized Official Telephone | 8014252679 |
| Authorized Official Credential | SSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1093173510 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MMTC Holdings Inc. | 201 Precision Drive, Winchester, Virginia 22603 |
| Virginia Business Entities | MMTC Management Services Inc. | 201 Precision Drive, Winchester, Virginia 22603 |
| Colorado Business Entities | MMTC NC Holdings LLC | 7400 East Crestline Circle, Suite 250, Greenwood Village, CO 80111 |
| Colorado Business Entities | MMTC Portfolio Company, LLC | 7400 East Crestline Circle, Suite 250, Greenwood Village, CO 80111 |
| Colorado Business Entities | MMTC SPE CB, LLC | 7400 E. Crestline Circle, Suite 250, Greenwood Village, CO 80111 |
| Colorado Business Entities | MMTC SPE FND, LLC | 7400 E. Crestline Circle, Suite 250, Greenwood Village, CO 80111 |
| Colorado Business Entities | MMTC SPE SSB, LLC | 7400 East Crestline Circle, Suite 250, Greenwood Village, CO 80111 |
| Colorado Business Entities | MMTC Unit Holdings, LLC | 5290 Dtc Parkway, Suite 150, Greenwood Village, CO 80111 |
| Colorado Business Entities | MMTC WW OREO, LLC | 4582 S. Ulster Street, Suite 1650, Denver, CO 80237 |
| New York State Corporations | MMTCENTER INC | 1075 Coney Island Avenue, Brooklyn, New York 11230 |
| Street Address |
1411 W 1100 N |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1427035187 | Sarah Lynn Woolsey | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116 | 2005-12-23 |
| Find all providers in zip 84116 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1942859707 | Madre Tierra Counseling & Consulting LLC | Community/Behavioral Health | 3763 S Secord St, Salt Lake City, UT 84115-4771 | 2019-09-05 |
| 1295389708 | Peaceful Solutions Counseling LLC | Community/Behavioral Health | 1399 S 700 E Ste 5, Salt Lake City, UT 84105-2161 | 2019-08-01 |
| 1891274429 | Crystal Tina Marie Amezquita | Community/Behavioral Health | 1141 E 3900 S Ste A150, Salt Lake City, UT 84124-1215 | 2018-08-14 |
| 1558840611 | Noble Soul Therapy | Community/Behavioral Health | 699 E South Temple # 300a, Salt Lake City, UT 84102-1142 | 2018-08-09 |
| 1932631116 | Mattison Therapeutic Consulting and Counseling | Community/Behavioral Health | 667 E Redondo Ave, Salt Lake City, UT 84105-3028 | 2017-03-28 |
| 1396281218 | Pat Brehl Lcsw LLC | Community/Behavioral Health | 439 E 900 S, Salt Lake City, UT 84111-4303 | 2017-01-17 |
| 1396280509 | Rjr Consultants LLC | Community/Behavioral Health | 169 E Edith Ave, Salt Lake City, UT 84111-4502 | 2016-12-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84116 |
Please comment or provide details below to improve the information on MMTC.
| 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.