Green Valley Academy

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

99999 Issued in UT

Legal business name

GREEN VALLEY ACADEMY

Doing business as

Waypoint Academy

Practice address

9091 E 100 S
Huntsville, UT 84317-9608

Phone

(801) 690-7000

Fax

(801) 543-1616

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By 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

Paul Ronald Reid

Title

Controller/Director

Phone

(801) 440-8187

Specialties & licenses 1

Addresses

Other names 1

• Waypoint Academy Doing business as

Practitioners 1

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.

• Jared U Balmer, PH.D.

  • Prescribing (Medical) Psychologist
  • Huntsville, UT
  • NPI 1649618315
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1356785869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "843170488",
            "telephone_number": "801-690-7000",
            "fax_number": "801-543-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 E 100 S",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "843179608",
            "telephone_number": "801-690-7000",
            "fax_number": "801-543-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CONTROLLER/DIRECTOR",
        "authorized_official_telephone_number": "801-440-8187"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "99999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waypoint Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Davis Benincosa
• Natalie Michelle Brower, BS-RN
• Cascade Lodge
• Jennifer Lynn Castillo, APRN, FNP-BC
• Joy D. Clem, DDS
• Phillip Nathan Hale, M.D.
• Dawson Ward Hedges, MD
• Ihc Health Services Inc. (Snowbasin Emergency Clinic)
• Joyful Smiles Family Dentistry, P.C.
• James Robert Mason, CMHC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Huntsville, UT
• Providers in Huntsville, 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 Apr 26, 2013; 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.