Sequel Youth Services of Mt. Pleasant

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SEQUEL YOUTH SERVICES OF MT. PLEASANT

Doing business as

Mt Pleasant Academy

Practice address

1100 South 70 West
Mt. Pleasant, UT 84647

Phone

(201) 899-4111

NPI assigned

Aug 28, 2016

Last updated

Dec 12, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CARE YOUTH CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Mandy Moses

Title

Chief Program Officer/Evp

Phone

(256) 880-3339

Specialties & licenses 1

Addresses

Other names 1

• Mt Pleasant Academy Doing business as

Part of

Sequel Youth Services of Lava Heights

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1073069340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016491",
            "telephone_number": "256-880-3339",
            "fax_number": "256-880-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTH 70 WEST",
            "city": "MT. PLEASANT",
            "state": "UT",
            "postal_code": "84647",
            "telephone_number": "201-899-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL YOUTH SERVICES OF MT. PLEASANT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE YOUTH CORPORATION",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER/EVP",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt Pleasant Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brian Smith

• Mental Illness Community Based Residential Treatment Facility in Mt Pleasant, UT
• Providers in Mt Pleasant, UT by specialty
• Mental Illness Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.