NPIMap

Organization Active NPI

Starlight Program

  • Foster Care Agency
  • Murray, UT
National Provider Identifier
1033539895
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
4215 Issued in UT
Legal business name
STARLIGHT PROGRAM
Practice address
345 E 4500 S
#260
Murray, UT 84107-3991
Phone
(801) 747-3556
Fax
(801) 747-2086
NPI assigned
Apr 21, 2014
Last updated
Apr 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PERFETTO CLINICAL CONTRACTING INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
William Joseph Perfetto, LCSW
Title
Director
Phone
(801) 747-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 4215 UT Primary

Addresses

Primary practice location

345 E 4500 S
#260
Murray, UT 84107-3991

Mailing address

345 E 4500 S
#260
Murray, UT 84107-3991
Phone (801) 747-3556

Other identifiers 1

IdentifierTypeStateIssuer
1497071419MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Utah's Children's Justice Center Program28 organizations share this tax ID, including this one
Part of
Perfetto Clinical Contracting Inc

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

345 E 4500 S
Ste 260
Salt Lake City, UT 84107
Phone (801) 747-3556

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1033539895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 4500 S",
            "address_2": "#260",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073991",
            "telephone_number": "801-747-3556",
            "fax_number": "801-747-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 4500 S",
            "address_2": "#260",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073991",
            "telephone_number": "801-747-3556",
            "fax_number": "801-747-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFETTO CLINICAL CONTRACTING INC.",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "PERFETTO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-747-3556",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497071419",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.