NPIMap

Organization Active NPI

University Neuropsychiatric Institue

  • Psychiatric Residential Treatment Facility
  • Salt Lake City, UT
National Provider Identifier
1487908968
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
UNIVERSITY NEUROPSYCHIATRIC INSTITUE
Practice address
252 South 500 East
Salt Lake City, UT 84102-2030
Phone
(801) 236-7710
NPI assigned
Nov 5, 2012
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Mabel Jentzsch, LCSWNPI 1326020512
Title
Social Worker
Phone
(801) 236-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

252 South 500 East
Salt Lake City, UT 84102-2030

Mailing address

252 South 500 East
Salt Lake City, UT 84102-2030
Phone (801) 236-7710

Other names 1

  • Recovery Wellness Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Recovery Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

252 S 500 E
Slc, UT 84102
Phone (801) 236-7710

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1487908968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SOUTH 500 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022030",
            "telephone_number": "801-236-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SOUTH 500 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022030",
            "telephone_number": "801-236-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NEUROPSYCHIATRIC INSTITUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "JENTZSCH",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "801-236-7110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 5, 2012; 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.