Pure Life PTG

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

PURE LIFE PTG

Practice address

7390 S Creek Rd Ste 202
Sandy, UT 84093-6123

Phone

(801) 893-2550

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

John Lund

Title

Executive Director

Phone

(801) 664-3741

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1003323767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14218 S CANYON VINE CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205631",
            "telephone_number": "801-878-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 S CREEK RD STE 202",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936123",
            "telephone_number": "801-893-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE PTG",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-664-3741"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychological Solutions USA LLC
• Kylee Pulsipher, APRN
• David Lionel Purbaugh
• Roanne Purcell-Demoss, RBT
• Pure Life Aspiro LLC
• Pure Progression Music Therapy
• Anna Rose Purkey
• Tanya R. Pusey, LCSW
• Quantum Injury and Pain Clinic LLC
• Quest Diagnostics Clinical Laboratories Inc

• Addiction (Substance Use Disorder) Psychologist in Sandy, UT
• Providers in Sandy, UT by specialty
• Addiction (Substance Use Disorder) Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.