NPIMap

Organization Active NPI

Sorensons Ranch School

  • Psychiatric Residential Treatment Facility
  • Koosharem, UT
National Provider Identifier
1013991256
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
8393 Issued in UT
Legal business name
SORENSONS RANCH SCHOOL
Practice address
410 N 100 E
Koosharem, UT 84744-7700
Phone
(435) 638-7318
Fax
(435) 638-7582
NPI assigned
Dec 1, 2005
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Stone Sorenson
Title
Program Director
Phone
(435) 638-7318

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Psychiatric Residential Treatment Facility 323P00000X 8393 UT Primary

Addresses

Primary practice location

410 N 100 E
Koosharem, UT 84744-7700

Mailing address

410 N 100 E
P.O. Box 440219
Koosharem, UT 84744-7700
Phone (435) 638-7318

Other identifiers 1

IdentifierTypeStateIssuer
HS727PIMedicaidAK

Other names 1

  • Sorensons Residential Treatment Center Other name

National Provider Directory

National Provider Directory

Locations

410 N 100 E
Koosharem, UT 84744
Phone (435) 638-7318

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1013991256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 100 E",
            "address_2": "P.O. BOX 440219",
            "city": "KOOSHAREM",
            "state": "UT",
            "postal_code": "847447700",
            "telephone_number": "435-638-7318",
            "fax_number": "435-638-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 100 E",
            "city": "KOOSHAREM",
            "state": "UT",
            "postal_code": "847447700",
            "telephone_number": "435-638-7318",
            "fax_number": "435-638-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORENSONS RANCH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "STONE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "435-638-7318"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "8393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS727PI",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sorensons Residential Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Koosharem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.