Chrysalis Texas

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CHRYSALIS TEXAS

Practice address

531 E 770 N
Orem, UT 84097-4102

Phone

(801) 655-4950

Fax

(801) 655-4954

NPI assigned

Mar 14, 2011

Last updated

Mar 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CHRYSALIS UTAHAs reported in NPPES

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

Authorized official

Name

Marc R Christensen

Title

President

Phone

(801) 360-4672

Specialties & licenses 1

Addresses

Part of

Chrysalis Inc

Locations

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1073811196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974102",
            "telephone_number": "801-655-4950",
            "fax_number": "801-655-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974102",
            "telephone_number": "801-655-4950",
            "fax_number": "801-655-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRYSALIS UTAH",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-360-4672"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Christiansen
• Craig A Christiansen, DDS
• Kenedi S Christiansen
• Chrysalis Enterprises, Inc.
• Chrysalis Nevada, Inc.
• Chrysalis Utah, LLC
• Chrysalis Utah, LLC
• Edwin Kaiwinui Chung-Hoon, PT, PHD
• Olivia Ann Church
• Seth Church

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orem, UT
• Providers in Orem, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.