Active NPI
Castle Ridge Behavioral Health, LLC
- Community/Behavioral Health Agency
- Castle Dale, UT
National Provider Identifier
1114620051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CASTLE RIDGE BEHAVIORAL HEALTH, LLC
- Practice address
- 55 E 100 N
Castle Dale, UT 84513-8451 - Phone
- (435) 749-5425
- NPI assigned
- Mar 22, 2023
- Last updated
- Mar 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donn Vee Jeffs
- Title
- Director
- Phone
- (435) 749-1484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
55 E 100 N
Castle Dale, UT 84513-8451
Mailing address
PO Box 263
Castle Dale, UT 84513-0263
Phone (435) 749-5425
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Case Manager/Care Coordinator
- Castle Dale, UT
- NPI 1861358673
-
- Case Manager/Care Coordinator
- Castle Dale, UT
- NPI 1679439459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1114620051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 263",
"city": "CASTLE DALE",
"state": "UT",
"postal_code": "845130263",
"telephone_number": "435-749-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E 100 N",
"city": "CASTLE DALE",
"state": "UT",
"postal_code": "845138451",
"telephone_number": "435-749-5425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASTLE RIDGE BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "JEFFS",
"authorized_official_first_name": "DONN",
"authorized_official_middle_name": "VEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "435-749-1484"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Dale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.