Utah Clinical Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

81702783501 Issued in UT

Legal business name

UTAH CLINICAL SERVICES, LLC

Practice address

3500 Harrison Blvd Ste 102
Ogden, UT 84403-2027

Phone

(435) 503-6474

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Shelly Gomez, LCSW

Title

Owner/Operator

Phone

(435) 503-6474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1588065684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150053",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150053",
            "telephone_number": "435-503-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HARRISON BLVD STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032027",
            "telephone_number": "435-503-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "435-503-6474",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "81702783501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• USA Vein Clinics of Utah LLC
• Usrc Ogden, LLC
• Julia A Ustariz, PT
• Ut Specialty Dental Services, PLLC
• Utah Alcoholism Foundation
• Utah CVS Pharmacy, L.L.C.
• Utah Department of Health - Health Clinics of Utah
• Utah Digestive Health Institute
• Utah Digestive Health Institute
• Utah Emergnecy Physicians

• All providers in Ogden, UT
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.