NPIMap

Organization Active NPI

Uinta Academy LC

  • Psychiatric Residential Treatment Facility
  • Wellsville, UT
National Provider Identifier
1457585754
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
14237 Issued in UT
Legal business name
UINTA ACADEMY LC
Practice address
3746 So. 4800 W.
Wellsville, UT 84339
Phone
(435) 245-2600
Fax
(435) 245-2605
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Mr. Robert Jeffrey Simpson, M.S., L.C.S.W.
Title
Executive Director
Phone
(435) 245-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 14237 UT Primary

Addresses

Primary practice location

3746 So. 4800 W.
Wellsville, UT 84339

Mailing address

PO Box 387
Wellsville, UT 84339
Phone (435) 245-2600

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.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1457585754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "84339",
            "telephone_number": "435-245-2600",
            "fax_number": "435-245-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 SO. 4800 W.",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "84339",
            "telephone_number": "435-245-2600",
            "fax_number": "435-245-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTA ACADEMY LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-245-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "14237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.