Active NPI
Autism Assessment and Treatment Center, Inc.
- Psychologist
- Salt Lake City, UT
National Provider Identifier
1497032569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361674-2501
- Legal business name
- AUTISM ASSESSMENT AND TREATMENT CENTER, INC.
- Practice address
- 4505 Wasatch Blvd
Salt Lake City, UT 84124-4709 - Phone
- (801) 386-8069
- NPI assigned
- Nov 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leanne Beale
- Title
- President
- Phone
- (801) 386-8069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361674-2501 | UT | Primary |
Addresses
Primary practice location
4505 Wasatch Blvd
Salt Lake City, UT 84124-4709
Mailing address
4505 Wasatch Blvd
Salt Lake City, UT 84124-4709
National Provider Directory
National Provider DirectoryLocations
4505 S Wasatch Blvd
Salt Lake City, UT 84124
Phone (801) 386-8069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1497032569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 WASATCH BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841244709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 WASATCH BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841244709",
"telephone_number": "801-386-8069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM ASSESSMENT AND TREATMENT CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "BEALE",
"authorized_official_first_name": "LEANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-386-8069",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "UT",
"license": "6361674-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.