Tristan Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

TRISTAN INC.

Practice address

1140 36TH St
Ogden, UT 84403-2050

Phone

(801) 392-0004

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Judy Helen Banks

Title

Co-Owner/Co-Director

Phone

(801) 479-3762

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346329034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 AZTEC DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034608",
            "telephone_number": "801-479-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032050",
            "telephone_number": "801-392-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CO-OWNER/CO-DIRECTOR",
        "authorized_official_telephone_number": "801-479-3762",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Independent Living Center of Utah
• Tri-Valley Medical, LLC
• Michael Lee Tribe, D.D.S.
• Trinity Mission Wide Horizons Residential Care Facility, LP
• Kay T Triplett, PT
• Dean Crispin Troili, D.D.S.
• Ashlee Trotter
• Kaleen Trout
• Alexandra Troy
• True North Counseling Services

• Emotionally Disturbed Childrens' Residential Treatment Facility in Ogden, UT
• Providers in Ogden, UT by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.