Stages Family Therapy PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STAGES FAMILY THERAPY PLLC

Practice address

4095 E Pony Express Pkwy Ste 15
Eagle Mountain, UT 84005-5529

Phone

(801) 200-2506

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Derek Willis Hagey, PHDNPI 1871720888

Title

Co-Owner

Phone

(801) 200-2506

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.

• Derek Willis Hagey, LMFT

  • Marriage & Family Therapist
  • Eagle Mountain, UT
  • NPI 1871720888
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1437740487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 E FICUS WAY",
            "city": "EAGLE MTN",
            "state": "UT",
            "postal_code": "840055741",
            "telephone_number": "801-200-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 E PONY EXPRESS PKWY STE 15",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055529",
            "telephone_number": "801-200-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGES FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "HAGEY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "801-200-2506",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Gregory Sommers
• Charles C Southerland, DPM
• Tahsha T Spackman, WHNP-BC
• Lauren Spencer
• Sharon K Sperry, RN
• Michael Jarom Staheli, DNP, FNP-C, APRN
• Annie Elizabeth Stapp, AMFT
• Jordache Starr, BCBA, LBA
• Abigail Katrina Staten
• Aubri Ann Stclair, ABOC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.