Organization Active NPI

Seventh Street Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Salt Lake City, UT
National Provider Identifier
1235663345
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
38350 Issued in UT
Legal business name
SEVENTH STREET TREATMENT CENTER
Practice address
2487 S 700 E
Salt Lake City, UT 84106-1722
Phone
(385) 261-2069
NPI assigned
Apr 14, 2017
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Mr. Michael L Ray, LCMHCNPI 1396046223
Title
Executive Director
Phone
(385) 261-2068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 38350 UT Primary

Addresses

Primary practice location

2487 S 700 E
Salt Lake City, UT 84106-1722

Mailing address

2487 S 700 E
Salt Lake City, UT 84106-1722
Phone (385) 261-2069

Other names 1

  • 7th Street Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D22476287TH Street Treatment Center2487 South 700 East, Salt Lake City, UT 84106Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

2487 S 700 E
Salt Lake City, UT 84106
Phone (385) 261-2070

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1235663345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061722",
            "telephone_number": "385-261-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061722",
            "telephone_number": "385-261-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH STREET TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "385-261-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "38350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7th Street",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.