NPIMap

Organization Active NPI

Telos

  • Psychiatric Residential Treatment Facility
  • Orem, UT
National Provider Identifier
1508309287
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
66066303501 Issued in UT
Legal business name
TELOS
Practice address
870 W Center St
Orem, UT 84057-5202
Phone
(801) 426-8800
Fax
(801) 426-8825
NPI assigned
Nov 29, 2016
Organization subpart
Yes
Parent organization
TELOSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Camreon R. Armstrong, L.C.S.W.
Title
Primary Therapist
Phone
(801) 426-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 66066303501 UT Primary

Addresses

Primary practice location

870 W Center St
Orem, UT 84057-5202

Mailing address

870 W Center St
Orem, UT 84057-5202
Phone (801) 426-8800

National Provider Directory

National Provider Directory
Tax ID family
Telos3 organizations share this tax ID, including this one
Part of
Telos

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

  • Telos
    • Mental Illness Community Based Residential Treatment Facility
    • Orem, UT
    • NPI 1629513833
    NPPES parent name

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1508309287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575202",
            "telephone_number": "801-426-8800",
            "fax_number": "801-426-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575202",
            "telephone_number": "801-426-8800",
            "fax_number": "801-426-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELOS",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CAMREON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRIMARY THERAPIST",
        "authorized_official_telephone_number": "801-426-8800",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "66066303501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.