Creative Behavioral Connections Utah

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CREATIVE BEHAVIORAL CONNECTIONS UTAH

Practice address

1108 E South Union Ave
Midvale, UT 84047-2904

Phone

(702) 901-5200

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle McGuireNPI 1245430792

Title

Ceo

Phone

(702) 901-5200

Specialties & licenses 1

Addresses

Tax ID family

Creative Behavioral Connections Utah3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Creative Behavioral Connections Utah

  • Behavior Technician
  • St George, UT
  • NPI 1629801337
  NPD tax ID
• Creative Behavioral Connections Utah

  • Mental Health Counselor
  • Midvale, UT
  • NPI 1861225575
  NPD tax ID

Practitioners 1

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.

• Michelle Kaye McGuire, PSY.D.

  • Psychologist
  • Las Vegas, NV
  • NPI 1245430792
  Authorized official Same address or phone

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1053144758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 W CRAIG RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E SOUTH UNION AVE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472904",
            "telephone_number": "702-901-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE BEHAVIORAL CONNECTIONS UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-901-5200"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Michelle Cottle
• Stephanie Fae Cowley, ACMHC
• Steven E Craig, DPM
• Joseph G Cramer, MD
• Wayne Grant Crawford, PA-C
• Creative Behavioral Connections Utah
• Creative Minds Ut
• Creators Legacy Homes LLC
• Creek Capital Anesthesia LLC
• Creek Capital Millcreek LLC

• Clinical Psychologist in Midvale, UT
• Providers in Midvale, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.