West Ridge Academy

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

14991 Issued in UT

Legal business name

WEST RIDGE ACADEMY

Practice address

5500 Bagley Park Rd
West Jordan, UT 84081-5697

Phone

(801) 282-1000

Fax

(801) 282-1198

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Zachary Champion

Title

Billing Manager

Phone

(801) 282-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Children Youth Services Inc2 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.

• Children & Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Jordan, UT
  • NPI 1871621920
  NPD tax ID

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1376772285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BAGLEY PARK RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815697",
            "telephone_number": "801-282-1000",
            "fax_number": "801-282-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BAGLEY PARK RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815697",
            "telephone_number": "801-282-1000",
            "fax_number": "801-282-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIDGE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-04-19",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-282-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "14991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4091347",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Jordan Medical Center PC
• West Jordan Modern Dentistry , LLP
• West Jordan PDC LLC
• West Jordan Smile Center
• West Jordan Smile Center
• West Valley Dental Group Inc
• Hailey West
• Madison West
• Megan Whatcott
• Sydnee Whinham

• Emotionally Disturbed Childrens' Residential Treatment Facility in West Jordan, UT
• Providers in West Jordan, 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 19, 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.