Chrysalis Enterprises, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CHRYSALIS ENTERPRISES, INC.

Practice address

223 W 520 N
Orem, UT 84057-4696

Phone

(801) 805-1640

Fax

(801) 805-6733

NPI assigned

Sep 19, 2006

Last updated

Jul 21, 2022By 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

Marc Robert Christensen, MMHC

Title

Chief Operations Officer

Phone

(801) 805-1640

Specialties & licenses 1

Addresses

Other names 1

• Chrysalis Other name

Locations

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316044852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W 520 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574696",
            "telephone_number": "801-805-1640",
            "fax_number": "801-805-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W 520 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574696",
            "telephone_number": "801-805-1640",
            "fax_number": "801-805-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "801-805-1640",
        "authorized_official_credential": "MMHC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vernon L Christenson, MD
• Cynthia Christian
• Catherine Christiansen
• Craig A Christiansen, DDS
• Kenedi S Christiansen
• Chrysalis Nevada, Inc.
• Chrysalis Texas
• Chrysalis Utah, LLC
• Chrysalis Utah, LLC
• Edwin Kaiwinui Chung-Hoon, PT, PHD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orem, UT
• Providers in Orem, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.