Atlas Therapeutic Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2391843-6004 Issued in UT

Legal business name

ATLAS THERAPEUTIC SERVICES LLC

Practice address

451 E 1000 S
Ste D
Pleasant Grove, UT 84062-3700

Phone

(801) 310-3091

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marco Juracan, PSY.D, CMHC

Title

Owner

Phone

(801) 310-3091

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1104270768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E 1000 S",
            "address_2": "STE D",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E 1000 S",
            "address_2": "STE D",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623700",
            "telephone_number": "801-310-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "JURACAN",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-310-3091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "2391843-6004",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8937085-6009",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8155586-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.