NPIMap

Organization Active NPI

Sundance Canyon Inc

Doing business as Sundance Canyon Treatment

  • Psychiatric Residential Treatment Facility
  • American Fork, UT
National Provider Identifier
1366879793
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
3021 Issued in UT
Legal business name
SUNDANCE CANYON INC
Doing business as
Sundance Canyon Treatment
Practice address
182 N 775 E
American Fork, UT 84003-2068
Phone
(801) 473-6606
Fax
(801) 763-5758
NPI assigned
Sep 30, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Sheri Hooper
Title
Financial Director
Phone
(801) 473-6606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 3021 UT Primary
Substance Abuse Rehabilitation Facility 324500000X 3021 UT

Addresses

Primary practice location

182 N 775 E
American Fork, UT 84003-2068

Mailing address

1766 Little Sweden Rd
Daniel, UT 84032-3505
Phone (435) 671-4444

Other names 1

  • Sundance Canyon Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sundance Canyon Academy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1366879793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 LITTLE SWEDEN RD",
            "city": "DANIEL",
            "state": "UT",
            "postal_code": "840323505",
            "telephone_number": "435-671-4444",
            "fax_number": "435-503-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 N 775 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032068",
            "telephone_number": "801-473-6606",
            "fax_number": "801-763-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE CANYON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "801-473-6606"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "3021",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "3021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Canyon Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.