Sego Lily Center for the Abused Deaf

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

50526596004 Issued in UT

Legal business name

SEGO LILY CENTER FOR THE ABUSED DEAF

Practice address

6526 S State St
404
Murray, UT 84107-7261

Phone

(888) 328-5486

Fax

(888) 328-5486

NPI assigned

Jul 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joene Farris Nicolaisen, LPC

Title

Executive Director

Phone

(888) 328-5486

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1003045667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71279",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841710279",
            "telephone_number": "888-328-5486",
            "fax_number": "888-328-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 S STATE ST",
            "address_2": "404",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077261",
            "telephone_number": "888-328-5486",
            "fax_number": "888-328-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGO LILY CENTER FOR THE ABUSED DEAF",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "NICOLAISEN",
        "authorized_official_first_name": "JOENE",
        "authorized_official_middle_name": "FARRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-328-5486",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "50526596004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark L Searle, M.D.
• Kathy Searle, CSW
• Raymond Searles, PMHNP-BC
• Ashley Christine Seawright, NP
• Sarah Sedillo
• Gregory Sego, FNP-C, RN, BSN
• Ian Englebert Seitz
• Kimberly Seitz, PTA
• John Michael Self, MD
• Tomoki Sempokuya, M.D.

• Community/Behavioral Health Agency in Murray, UT
• Providers in Murray, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.