SPECTRUM ACADEMY (NPI# 1922490689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922490689 |
| Entity Type | Organization |
| Organization Name | SPECTRUM ACADEMY |
| Practice Address |
665 Cutler Dr North Salt Lake UT 84054-2970 |
| Mailing Address |
575 Cutler Dr North Salt Lake UT 84054-2953 |
| Practice Telephone | 8019360318 |
| Practice Fax Number | 8019360209 |
| Mailing Telephone | 8019360318 |
| Mailing Fax Number | 8019360209 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | BRADLEY H NELSON (C.F.O.) |
| Authorized Official Telephone | 8019360318 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM ACADEMY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841682978 | Spectrum Academy | Local Education Agency (LEA) | 867 S 800 W, Pleasant Grove, UT 84062-4505 | 2015-02-26 |
| 1457742553 | Spectrum Academy | Local Education Agency (LEA) | 575 Cutler Dr, North Salt Lake, UT 84054-2953 | 2015-02-10 |
| 1215572581 | Spectrum Academy | Clinic/Center | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-11-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | SPECTRUM ACADEMY LLC | 9208 Falls of Neuse Road Suite 201, Raleigh, NC 27615 |
| Washington State Corporations | SPECTRUM ACADEMY, LLC | 2576 152nd Ave Ne # B-112, Redmond, WA 98052-0702 |
| Street Address |
665 CUTLER DR |
| City | NORTH SALT LAKE |
| State | UT |
| Zip Code | 84054-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307962 | Melou Stewart Cline | Music Therapist | 1130 Eaglewood Loop, North Salt Lake, UT 84054 | 2017-10-17 |
| 1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
| 1790161495 | Clayton Brimhall | Social Worker | 951 South Silvertree Lane, North Salt Lake, UT 84054 | 2015-08-04 |
| 1124423215 | Orbit Onsite Care Clinic | Internal Medicine | 845 North Overland Rd., North Salt Lake, UT 84054 | 2014-10-31 |
| 1972865244 | Ray A Dumas | Community/Behavioral Health | 144 S. 300 E., North Salt Lake City, UT 84054 | 2012-06-13 |
| 1699060624 | Jeanne Marie Chadwick | Massage Therapist | 955 Elizabeth Dr., Nsl, UT 84054 | 2011-06-17 |
| 1447368634 | Wendy Louise Wolfe | Speech-Language Pathologist | 774 East Independence Way, North Salt Lake City, UT 84054 | 2006-08-28 |
| 1558603209 | Thomas Alan Duernberger | Pharmacist | 669 W 900 N, North Salt Lake, UT 84054 | 2013-03-20 |
| 1710493283 | Danielle Jeanne Merritt | Behavioral Analyst | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2017-12-20 |
| 1326503053 | Elevation Behavioral Science Services, Pllc | Community/Behavioral Health | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2019-02-06 |
| Find all providers in zip 84054 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457742553 | Spectrum Academy | Local Education Agency (LEA) | 575 Cutler Dr, North Salt Lake, UT 84054-2953 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045189 | Bonneville Academy | Local Education Agency (LEA) | 800 W Montauk Ln, Stansbury Park, UT 84074-3385 | 2019-07-17 |
| 1093243073 | Hawthorn Academy | Local Education Agency (LEA) | 9062 S 2200 W, West Jordan, UT 84088-5564 | 2017-06-02 |
| 1134653660 | Wasatch Charter School | Local Education Agency (LEA) | 1458 E Murray Holladay Rd, Holladay, UT 84117-5037 | 2017-04-11 |
| 1265976864 | Freedom Preparatory Academy | Local Education Agency (LEA) | 1761 W 820 N, Provo, UT 84601-1306 | 2016-12-15 |
| 1841682978 | Spectrum Academy | Local Education Agency (LEA) | 867 S 800 W, Pleasant Grove, UT 84062-4505 | 2015-02-26 |
| 1215368477 | Beaver County School District | Local Education Agency (LEA) | 291 N Main St, Beaver, UT 84713-0291 | 2013-12-12 |
| 1467707422 | Morgan School District | Local Education Agency (LEA) | 240 E Young St, Morgan, UT 84050-9924 | 2012-07-16 |
| 1942574835 | Wasatch County School District | Local Education Agency (LEA) | 101 E 200 N, Heber City, UT 84032-1708 | 2012-02-24 |
| 1942533047 | Canyons School District | Local Education Agency (LEA) | 9150 S 500 W, Bldg 1, Sandy, UT 84070-2538 | 2009-09-08 |
| 1184855157 | Duchesne County School District | Local Education Agency (LEA) | 900 E Lagoon St # 124-6, Roosevelt, UT 84066-3082 | 2009-08-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SALT LAKE |
| Zip Code | 84054 |
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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.