Redwood Therapy and Youth Services

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

18025 Issued in UT

Legal business name

REDWOOD THERAPY AND YOUTH SERVICES

Practice address

154 W Main St
American Fork, UT 84003-2359

Phone

(801) 885-1216

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Adney Ma'Anaima Marion Reid, LCSW

Title

Clinical Director

Phone

(801) 885-1216

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1033407606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 W MAIN ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032359",
            "telephone_number": "801-885-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W MAIN ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032359",
            "telephone_number": "801-885-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD THERAPY AND YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ADNEY",
        "authorized_official_middle_name": "MA'ANAIMA MARION",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-885-1216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "18028",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "18025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.