Addiction Recovery Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6854100-6006 Issued in UT

Legal business name

ADDICTION RECOVERY SERVICES

Practice address

175 S Main St
Suite 512
Salt Lake City, UT 84111-1916

Phone

(801) 830-2915

NPI assigned

Apr 25, 2015

Last updated

May 16, 2015By 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

Nicole C Nelson

Title

President

Phone

(801) 830-2915

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431734400000",
    "number": "1184011397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "address_2": "512",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111916",
            "telephone_number": "801-830-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "address_2": "SUITE 512",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111916",
            "telephone_number": "801-830-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-05-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-830-2915"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "6854100-6006",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "6854100-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyana Adamson, LCSW
• Kijana Adamson
• Adanna Foley, PLLC
• Rebecca Marie Adcock, DPT,OCS
• Anisha Adderly
• Conrad B. Addison, MD
• Maria Addison, MSN-BC, NNP
• Odessa Rene Addison, DPT
• Andrea Addley
• Parisa Adelhardt, MD

• Adult Mental Health Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; 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.