NPIMap

Organization Active NPI

Outback Therapeutic Expeditions

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lehi, UT
National Provider Identifier
1386854461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
344193-3902 Issued in UT
Legal business name
OUTBACK THERAPEUTIC EXPEDITIONS
Practice address
50 N 200 E
Lehi, UT 84043-1835
Phone
(801) 766-3933
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Allen Lowe, PH.D.NPI 1417257643
Title
Family Therapist
Phone
(801) 766-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 344193-3902 UT Primary

Addresses

Primary practice location

50 N 200 E
Lehi, UT 84043-1835

Mailing address

462 S 500 E
Santaquin, UT 84655-8125
Phone (801) 754-5311

National Provider Directory

National Provider Directory
Tax ID family
Outback Therapeutic Expeditions2 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386854461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 S 500 E",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846558125",
            "telephone_number": "801-754-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N 200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431835",
            "telephone_number": "801-766-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTBACK THERAPEUTIC EXPEDITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "FAMILY THERAPIST",
        "authorized_official_telephone_number": "801-766-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "344193-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • 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.