Sundance Behavioral Resources

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

251B00000X Issued in UT

Legal business name

SUNDANCE BEHAVIORAL RESOURCES

Practice address

845 E 4800 S Ste 200
Murray, UT 84107-5041

Phone

(801) 264-9522

Fax

(801) 265-9604

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Elisabeth Pesce

Title

Ceo

Phone

(904) 605-4986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Loren D Mitchell, LPC

  • Professional Counselor
  • Eagle Mountain, UT
  • NPI 1932342516
  NPD

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1417345760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E 4800 S STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075041",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E 4800 S STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075041",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 N Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846047730",
            "country_code": "US",
            "telephone_number": "801-900-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNDANCE BEHAVIORAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Sullivan
• Mark Montogomery Sullivan, PAC, MPAS
• John Lewis Summers, M.D.
• Summit Pain Management PC
• Summit Physician Specialists
• Sundance Behavioral Resources, LLC
• Alexandra Elisabeth Sundberg, MD
• Superior Home Care, Inc (Superior Home Care and Hospice)
• Karen Suprunowicz, MD
• Ronnekia Suran

• Case Management Agency in Murray, UT
• Providers in Murray, UT by specialty
• Case Management Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.