Adolescent, Child and Family Therapy Clinic, Inc

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

2152474405 Issued in UT

Legal business name

ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC

Practice address

370 E South Temple
Ste 550
Salt Lake City, UT 84111-1206

Phone

(801) 652-4937

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Mrs. Rose B. Olds, APRNNPI 1619927795

Title

President

Phone

(801) 652-4937

Specialties & licenses 1

Addresses

Locations

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.

• Rose B Olds, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Salt Lake City, UT
  • NPI 1619927795
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083732051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E",
            "address_2": "STE 3A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022873",
            "telephone_number": "801-652-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE",
            "address_2": "STE 550",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111206",
            "telephone_number": "801-652-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLDS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-652-4937",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "UT",
            "license": "2152474405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saad Adidou
• Kelsey Lavon Adkins
• Teresa Marie Adkins
• Audrey Violet Adler, MD
• Lezlie Joan Adler, OTRL
• Laura N Adolfson
• Lillian Bob Adolphson, BCBA-D
• Drew Adriaens
• Cara Adrian, LCSW
• Adult Care Clinic Inc

• Psychiatric/Mental Health Clinical Nurse Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.