Ranaissance Ranch Outpatient Treatment

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6253804-3501 Issued in UT

Legal business name

RANAISSANCE RANCH OUTPATIENT TREATMENT

Practice address

9160 S 300 W Ste 13
Sandy, UT 84070-2656

Phone

(801) 571-4325

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John V. James I

Title

Owner

Phone

(801) 326-9173

Specialties & licenses 1

Addresses

Other names 1

• Brothers Keeper Doing business as

Locations

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1285979583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 S 300 W STE 13",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702656",
            "telephone_number": "801-571-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 S 300 W STE 13",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702656",
            "telephone_number": "801-571-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANAISSANCE RANCH OUTPATIENT TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-326-9173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "6253804-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brothers Keeper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rainbow Kids Pediatric Dentistry
• Judith Ann Raines, RN
• Sarahi Guadalupe Ramirez Figueroa, AMFT
• Barbara Noelia Ramos-Cryer, LCSW
• John F. Ramsey, MD
• Paul Stiles Randak
• Gregory J Randall, D.M.D.
• Veronica R Raniwala, MSW
• Amy E Rapp, MD
• Alyson Rose Rasmussen

• Adult Mental Health Clinic/Center in Sandy, UT
• Providers in Sandy, 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 Nov 28, 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.