Professional Services Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

16788 Issued in UT

Legal business name

PROFESSIONAL SERVICES CORPORATION

Practice address

533 26TH St
Suite 102
Ogden, UT 84401-2465

Phone

(801) 621-3624

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Willard Paul Oleson, LCSW

Title

Director

Phone

(801) 621-3624

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard Lee Wailes, LCSW

  • Clinical Social Worker
  • West Jordan, UT
  • NPI 1740346113
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1316212467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 26TH ST STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012459",
            "telephone_number": "801-621-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 26TH ST",
            "address_2": "SUITE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012465",
            "telephone_number": "801-621-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "OLESON",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-621-3624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": "16788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Price
• Christine Price
• Claudia B Price
• Dominika Prieto
• Melissa K Proctor, MHP
• Alyssa Prothero
• Linda S Protzman, MED. CMHC, LPC
• Samuel Pryor, MFT INTERN
• Brian W Pugh, DO
• Kimberly Noel Pullar, LCMHC

• Case Management Agency in Ogden, UT
• Providers in Ogden, UT by specialty
• Case Management Agency in Utah

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