Paradigm Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

20408 Issued in UT

Legal business name

PARADIGM RECOVERY CENTER

Practice address

12997 S Summerharvest Dr
Draper, UT 84020-9355

Phone

(877) 586-1040

Fax

(877) 411-9114

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Craig Woolston

Title

Business Development

Phone

(877) 586-1040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1245680206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 E DRAPER PKWY # 466",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209356",
            "telephone_number": "877-586-1040",
            "fax_number": "877-411-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 S SUMMERHARVEST DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209355",
            "telephone_number": "877-586-1040",
            "fax_number": "877-411-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "WOOLSTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "877-586-1040"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "20408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily Palmer
• Kathleen Palmer, DPT
• Carlos Alberto Palomo, LCSW
• Sindhu N/a Pandey
• Papillon Therapeutic Services LLC
• Dallen Park
• Jamie Dangerfield Park, LCSW
• Tianna Park
• Richard Gordon Parker, D.D.S.
• Rylee Parker

• Substance Abuse Rehabilitation Facility in Draper, UT
• Providers in Draper, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.