Organization Active NPI

Young Minds Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
National Provider Identifier
1497277750
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUNG MINDS THERAPY
Practice address
231 E 400 S Ste 320
Salt Lake City, UT 84111-2813
Phone
(801) 987-0727
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Mr. Ricardo David Robles, LCSWNPI 1851721831
Title
Owner
Phone
(801) 987-0727

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

231 E 400 S Ste 320
Salt Lake City, UT 84111-2813

Mailing address

231 E 400 S Ste 320
Salt Lake City, UT 84111-2813
Phone (801) 987-0727

National Provider Directory

National Provider Directory

Locations

231 E 400 S
Ste 320
Salt Lake City, UT 84111
Phone (801) 987-0727

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": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1497277750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E 400 S STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112813",
            "telephone_number": "801-987-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E 400 S STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112813",
            "telephone_number": "801-987-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MINDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-987-0727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Oct 11, 2017; 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.