Active NPI
Redwood Grove Diagnostics & Transitions LLC
- Psychologist
- Springville, UT
National Provider Identifier
1164970869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- REDWOOD GROVE DIAGNOSTICS & TRANSITIONS LLC
- Practice address
- 757 S Main St
Springville, UT 84663-2452 - Phone
- (801) 491-2270
- NPI assigned
- Sep 12, 2016
- 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
- Christopher Tolen, PH.D.
- Title
- Executive Director
- Phone
- (801) 491-2270
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
757 S Main St
Springville, UT 84663-2452
Mailing address
757 S Main St
Springville, UT 84663-2452
Phone (801) 491-2270
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Springville, UT
- NPI 1578883427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1164970869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 S MAIN ST",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632452",
"telephone_number": "801-491-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 S MAIN ST",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632452",
"telephone_number": "801-491-2270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD GROVE DIAGNOSTICS & TRANSITIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "TOLEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-491-2270",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.