NPIMap

Organization Active NPI

Sundance Behavioral Resources, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Murray, UT
National Provider Identifier
1326157355
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SUNDANCE BEHAVIORAL RESOURCES, LLC
Doing business as
SunDance Behavioral Resources, LLC
Practice address
845 E 4800 S
Suite 200
Murray, UT 84107-5049
Phone
(801) 264-9522
Fax
(801) 265-9604
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Elisabeth Pesce
Title
Ceo
Phone
(904) 605-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

845 E 4800 S
Suite 200
Murray, UT 84107-5049

Mailing address

845 E 4800 S
Suite 200
Murray, UT 84107-5049
Phone (801) 264-9522

Other practice location 1

5255 N Edgewood Dr Ste 365
Provo, UT 84604-7730
Phone (801) 900-5616

Other names 1

  • SunDance Behavioral Resources, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5252 N Edgewood Dr
Ste 365
Provo, UT 84604
Phone (801) 900-5616

5255 N Edgewood Dr
Ste 365
Provo, UT 84604
Phone (801) 900-5616

310 E 4500 S
Ste 600
Salt Lake City, UT 84107
Phone (801) 264-9522

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1326157355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E 4800 S",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075049",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E 4800 S",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075049",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 N Edgewood Dr Ste 365",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846047730",
            "country_code": "US",
            "telephone_number": "801-900-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNDANCE BEHAVIORAL RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-12-22",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunDance Behavioral Resources, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunDance Behavioral Resources, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.