Oxbow Academy, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

OXBOW ACADEMY, INC.

Practice address

11470 E 16000 N
Mt Pleasant, UT 84647-5542

Phone

(801) 491-2270

NPI assigned

Sep 20, 2007

Last updated

Aug 2, 2024By 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

Shawn Brooks

Title

Administrator

Phone

(801) 491-2270

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• William Bunn, DO

  • Psychiatry Physician
  • Orem, UT
  • NPI 1578662508
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1215123567",
    "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": "11470 E 16000 N",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846475542",
            "telephone_number": "801-491-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 S Main St",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "846632452",
            "country_code": "US",
            "telephone_number": "801-491-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 N State St",
            "address_purpose": "LOCATION",
            "city": "Wales",
            "state": "UT",
            "postal_code": "846677700",
            "country_code": "US",
            "telephone_number": "801-491-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OXBOW ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-491-2270"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Nunn, MD
• Candace Odom
• Glen S Olson, DDS
• Matthew Osmond
• Robert Owens
• Cynthia Partida
• Abby Petchinsky
• Christie Peterson
• Michael Peterson
• Benjamin Pipes, PA-C

• Psychiatric Residential Treatment Facility in Mt Pleasant, UT
• Providers in Mt Pleasant, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.