UTAH'S CHILDREN'S JUSTICE CENTER PROGRAM (NPI# 1770787012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770787012 |
| Entity Type | Organization |
| Organization Name | UTAH'S CHILDREN'S JUSTICE CENTER PROGRAM |
| Practice Address |
125 S Main St Farmington UT 84025-2359 |
| Mailing Address |
5272 College Dr Ste 200 Salt Lake City UT 84123-2772 |
| Practice Telephone | 8014513560 |
| Practice Fax Number | 8014513555 |
| Mailing Telephone | 8012811238 |
| Mailing Fax Number | 8012811235 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAURA SEKLEMIAN (CJC DEVELOPMENT & TRAINING COODINAT) |
| Authorized Official Telephone | 8012811238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2090084405 | UT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316141005 | Utah's Children's Justice Center Program | Specialist | 84 N 200 W, Vernal, UT 84078-2038 | 2007-06-14 |
| Street Address |
125 S MAIN ST |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1144779836 | Brittany Parker | Specialist | 2205 Ridgecrest Dr, Farmington, NM 87401-3405 | 2016-09-23 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1275956203 | Therese Marie Millis | Specialist | 4600 Rio St, Farmington, NM 87402-4904 | 2014-01-27 |
| 1306100094 | Sarah Kalen | Specialist | 1517 Emma Ln, Farmington, NY 14425-9045 | 2012-06-27 |
| 1578837886 | Tom Burcham | Specialist | 1513 W Columbia St, Farmington, MO 63640-3512 | 2012-03-05 |
| 1306110838 | Stacey L Potter | Specialist | 313 N Monterey Ave, Farmington, NM 87401-6957 | 2012-03-01 |
| 1467720300 | Stettler Medical Monitoring, Lcc | Specialist | 1527 Comptons Pt, Farmington, UT 84025-3942 | 2011-12-07 |
| 1164734331 | Curtis J Tillman Jr. | Specialist | 36818 Brittany Hill Dr, Farmington, MI 48335-2908 | 2010-07-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on UTAH'S CHILDREN'S JUSTICE CENTER PROGRAM.
| 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.