NPIMap

Organization Active NPI

Holbrook Therapeutic Services, LLC

  • Clinical Social Worker
  • Spring City, UT
National Provider Identifier
1447592241
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
379899-3501 Issued in UT
Legal business name
HOLBROOK THERAPEUTIC SERVICES, LLC
Practice address
12670 N 6500 E
Spring City, UT 84662
Phone
(435) 676-3020
Fax
(435) 462-9839
NPI assigned
Mar 20, 2013
Last updated
Jan 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Garry Richard HolbrookNPI 1013165802
Title
Owner/ LCSW
Phone
(435) 676-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 379899-3501 UT Primary

Addresses

Primary practice location

12670 N 6500 E
Spring City, UT 84662

Mailing address

PO Box 575
Spring City, UT 84662-0575
Phone (435) 676-3020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1447592241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "SPRING CITY",
            "state": "UT",
            "postal_code": "846620575",
            "telephone_number": "435-676-3020",
            "fax_number": "435-462-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 N 6500 E",
            "city": "SPRING CITY",
            "state": "UT",
            "postal_code": "84662",
            "telephone_number": "435-676-3020",
            "fax_number": "435-462-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROOK THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/ LCSW",
        "authorized_official_telephone_number": "435-676-3020"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "379899-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.