Active NPI
Megan Eldridge
- Behavior Technician
- South Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6033 Fashion Point Dr
South Ogden, UT 84403-4847 - Phone
- (801) 549-8821
- NPI assigned
- Jan 28, 2019
- Last updated
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | ||
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
6033 Fashion Point Dr
South Ogden, UT 84403-4847
Mailing address
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
Other practice location 1
4933 S 1500 W Ste 210
Riverdale, UT 84405-7738
Phone (801) 820-6420
Other practice location 2
2985 N 935 E Ste 7
Layton, UT 84040-7318
Phone (801) 771-0273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ibehave Therapy Group LLC. | Current | Accepting new patients | |
| Chrysalis Utah, LLC | Past | Accepting new patients |
Locations
2985 N 935 E
Ste 7
Layton, UT 84040
Phone (801) 564-1748
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Layton, UT
- NPI 1578983318
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Orem, UT
- NPI 1891898045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1457815045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 W RUSSELL ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571041322",
"telephone_number": "605-271-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 FASHION POINT DR",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034847",
"telephone_number": "801-549-8821"
}
],
"practiceLocations": [
{
"address_1": "4933 S 1500 W Ste 210",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "UT",
"postal_code": "844057738",
"country_code": "US",
"telephone_number": "801-820-6420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2985 N 935 E Ste 7",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840407318",
"country_code": "US",
"telephone_number": "801-771-0273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.