Island View Residential Treatment Center

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

ISLAND VIEW RESIDENTIAL TREATMENT CENTER

Practice address

2650 W 2700 S
Syracuse, UT 84075-9013

Phone

(801) 773-0200

Fax

(801) 773-0208

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By 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

Brandee Johnson

Title

Business Office Manager

Phone

(801) 773-0200

Specialties & licenses 1

Addresses

Tax ID family

Ironwood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ironwood

  • Psychiatric Residential Treatment Facility
  • Morrill, ME
  • NPI 1023134202
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frankie Lynn Davis, APRN, FNP-C

  • Family Nurse Practitioner
  • Syracuse, UT
  • NPI 1114148459
  NPD (past)
• Richard Jackson

  • Rehabilitation Psychologist
  • Syracuse, UT
  • NPI 1124240197
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356473011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W 2700 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759013",
            "telephone_number": "801-773-0200",
            "fax_number": "801-773-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W 2700 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759013",
            "telephone_number": "801-773-0200",
            "fax_number": "801-773-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND VIEW RESIDENTIAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "801-773-0200"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shad T Ingram, DDS
• Inspiring Hearts LLC
• Intermountain Dental Specialists, LLC
• Island View Pharmacy Inc
• Island View Pharmacy Inc
• Richard Jackson
• Heidi Jafek, DC
• Eric W Johnson, RPH
• Jennifer Johnson, CSW
• Anna Ruth Kalmar

• Psychiatric Residential Treatment Facility in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Psychiatric 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.