NPIMap

Organization Active NPI

Eva Carlston Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salt Lake City, UT
National Provider Identifier
1427330968
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
EVA CARLSTON ACADEMY
Practice address
4943 Wasatch Blvd
Salt Lake City, UT 84124-4798
Phone
(801) 449-0089
Fax
(801) 204-9510
NPI assigned
Sep 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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

Authorized official

Name
Kristi Ragsdale
Title
Executive Director
Phone
(801) 699-6563

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

4943 Wasatch Blvd
Salt Lake City, UT 84124-4798

Mailing address

4943 Wasatch Blvd
Salt Lake City, UT 84124-4798
Phone (801) 449-0089

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2197409Eva Carlston Academy4943 S Wasatch Blvd, Salt Lake City, UT 84124Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Eva Carlston Academy2 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.

Locations

4943 S Wasatch Blvd
Salt Lake City, UT 84124
Phone (801) 210-0636

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1315699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315699200000",
    "number": "1427330968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 WASATCH BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244798",
            "telephone_number": "801-449-0089",
            "fax_number": "801-204-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 WASATCH BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244798",
            "telephone_number": "801-449-0089",
            "fax_number": "801-204-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA CARLSTON ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-09-11",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-699-6563"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.