Active NPI
Discovery Ranch South
- Psychiatric Residential Treatment Facility
- Cedar City, UT
National Provider Identifier
1508207630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- DISCOVERY RANCH SOUTH
- Doing business as
- Discovery Ranch for Girls
- Practice address
- 4928 N 4500 W
Cedar City, UT 84721-5632 - Phone
- (801) 491-2270
- NPI assigned
- Jul 17, 2013
- 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
- Andrea Burgess
- Title
- Executive Director
- Phone
- (801) 491-2270
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 21049 | UT | |
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
4928 N 4500 W
Cedar City, UT 84721-5632
Mailing address
757 S Main St
Springville, UT 84663-2452
Phone (801) 491-2270
Other names 1
- Discovery Ranch for Girls
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2163067 | Discovery Ranch South | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
4928 N 4500 W
Cedar City, UT 84721
Phone (801) 491-2270
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Springville, UT
- NPI 1578883427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1508207630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 S MAIN ST",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632452",
"telephone_number": "801-491-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4928 N 4500 W",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847215632",
"telephone_number": "801-491-2270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVERY RANCH SOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-17",
"last_updated": "2024-07-30",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-491-2270"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "UT",
"license": "21049",
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Discovery Ranch for Girls",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.