NPIMap

Organization Active NPI

Wasatch Youth Support Systems

  • Voluntary or Charitable Agency
  • West Valley City, UT
National Provider Identifier
1407955883
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
5420921-3501
Legal business name
WASATCH YOUTH SUPPORT SYSTEMS
Practice address
3392 W 3500 S
West Valley City, UT 84119-2630
Phone
(801) 969-3307
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. James Russell Marchel, PH.D
Title
Executive Director
Phone
(801) 969-3307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 5420921-3501 Primary

Addresses

Primary practice location

3392 W 3500 S
West Valley City, UT 84119-2630

Mailing address

3392 West 3500 South
West Valley City, UT 84119-2630
Phone (801) 969-3307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1407955883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 WEST 3500 SOUTH",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192630",
            "telephone_number": "801-969-3307",
            "fax_number": "801-964-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192630",
            "telephone_number": "801-969-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH YOUTH SUPPORT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MARCHEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-969-3307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": "5420921-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.