U-U Alcohol & Drug Clinic School of Medicine

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

12188 Issued in UT

Legal business name

U-U ALCOHOL & DRUG CLINIC SCHOOL OF MEDICINE

Practice address

30 N 1900 E
1R52 Som
Salt Lake City, UT 84132-2119

Phone

(801) 581-6228

Fax

(801) 585-6702

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Sheppard, PHD

Title

Director

Phone

(801) 581-6228

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Courtney Jr., PHD

  • Addiction (Substance Use Disorder) Psychologist
  • Salt Lake City, UT
  • NPI 1912048323
  NPD (past)
• Anne Moore, PHD

  • Addiction (Substance Use Disorder) Psychologist
  • Salt Lake City, UT
  • NPI 1881735298
  NPD (past)
• Martina Rich, PHD

  • Addiction (Substance Use Disorder) Psychologist
  • Salt Lake City, UT
  • NPI 1053452672
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1245371699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "1R52 SOM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322119",
            "telephone_number": "801-581-6228",
            "fax_number": "801-585-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "1R52 SOM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322119",
            "telephone_number": "801-581-6228",
            "fax_number": "801-585-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U-U ALCOHOL & DRUG CLINIC SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-581-6228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "12188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U of U Plastic Surgery Associates
• U of U Rocky Mountain Ophthalmology
• U U Anesthesiology Department School of Medicine
• U U Cardiology Division School of Medicine
• U U General Medicine Division
• U-U Anesthesiology Department NCC-Sicu School of Medicine
• U-U Endocrinology Division
• U-U Gastroenterology Division
• U-U Hematology-Oncology Division
• U-U Human Development Division

• Addiction (Substance Use Disorder) Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction (Substance Use Disorder) Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.