Organization Active NPI

Uni Home Project Psychiatric

Doing business as Neurobehavior HOME Program

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1063456143
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNI HOME PROJECT PSYCHIATRIC
Doing business as
Neurobehavior HOME Program
Practice address
650 Komas Drive, Ste. #200
Salt Lake City, UT 84108
Phone
(801) 585-1933
Fax
(801) 581-8979
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Mrs. Josette Dorius, RN, MPH
Title
Service Director
Phone
(801) 587-3108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

650 Komas Drive, Ste. #200
Salt Lake City, UT 84108

Mailing address

PO Box 413076
Salt Lake City, UT 84141-3076
Phone (801) 239-3900

Other names 1

  • Neurobehavior HOME Program Doing business as

National Provider Directory

National Provider Directory

Locations

546 S Chipeta Way
#459
Salt Lake City, UT 84108
Phone (801) 587-3102

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1063456143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413076",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413076",
            "telephone_number": "801-239-3900",
            "fax_number": "801-587-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 KOMAS DRIVE, STE. #200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-585-1933",
            "fax_number": "801-581-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNI HOME PROJECT PSYCHIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "DORIUS",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "801-587-3108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurobehavior HOME Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.