Organization Active NPI

Treatment Assessment Screening Center, Inc

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1083086631
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
28145 Issued in UT
Legal business name
TREATMENT ASSESSMENT SCREENING CENTER, INC
Practice address
145 E 1300 S Ste 101
Salt Lake City, UT 84115-6118
Phone
(801) 203-3761
Fax
(801) 396-2950
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Latrice Hickman
Title
Director of Community Programming
Phone
(602) 254-7328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 28145 UT Primary

Addresses

Primary practice location

145 E 1300 S Ste 101
Salt Lake City, UT 84115-6118

Mailing address

4016 N Black Canyon Hwy
Phoenix, AZ 85017-4730
Phone (602) 254-7328

National Provider Directory

National Provider Directory

Locations

145 E 1300 S
Ste 101
Salt Lake City, UT 84115
Phone (801) 203-3761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1083086631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 N BLACK CANYON HWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174730",
            "telephone_number": "602-254-7328",
            "fax_number": "602-255-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 1300 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841156118",
            "telephone_number": "801-203-3761",
            "fax_number": "801-396-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT ASSESSMENT SCREENING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY PROGRAMMING",
        "authorized_official_telephone_number": "602-254-7328"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "28145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 8, 2017; 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.