Organization Active NPI

Elizabeth Dosher LCSW

  • Adult Mental Health Clinic/Center
  • Park City, UT
National Provider Identifier
1093005308
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
62245433501 Issued in UT
Legal business name
ELIZABETH DOSHER LCSW
Practice address
2760 Rasmussen Rd BLDG D
Suite 205
Park City, UT 84098-5684
Phone
(435) 513-2280
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Elizabeth Ann Dosher, LCSWNPI 1811002967
Title
Owner/Psychotherapist
Phone
(435) 513-2280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 62245433501 UT Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 62245433501 UT

Addresses

Primary practice location

2760 Rasmussen Rd BLDG D
Suite 205
Park City, UT 84098-5684

Mailing address

2760 W Est Rasmussen Rd, BLDG D
Suite 205
Park City, UT 84098-5177
Phone (435) 513-2280

National Provider Directory

National Provider Directory

Locations

2760 Rasmussen Rd
Ste D205
Park City, UT 84098
Phone (435) 513-2280

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": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1093005308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 W EST RASMUSSEN RD, BLDG D",
            "address_2": "SUITE 205",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985177",
            "telephone_number": "435-513-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 RASMUSSEN RD BLDG D",
            "address_2": "SUITE 205",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985684",
            "telephone_number": "435-513-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH DOSHER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "DOSHER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "435-513-2280",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "62245433501",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "62245433501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.