Uhs Provo Canyon Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

11043 Issued in UT

Legal business name

UHS PROVO CANYON INC

Doing business as

Provo Canyon School

Practice address

4501 N University Ave
Provo, UT 84604-5504

Phone

(800) 848-9819

NPI assigned

Mar 1, 2006

Last updated

Dec 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Cfo/ Sr VP

Phone

(610) 768-3300

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Provo Canyon School Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609843523. Details of each certification follow.

• CCN 464014 Hospital · Active · Details

Hospital certification: CCN 464014

Legal name

UHS OF PROVO CANYON INC

Doing business as

ASPEN GROVE BEHAVIORAL HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Feb 6, 2012

Last certification

Feb 6, 2012

Beds

80

Ownership / control type

Private (for profit)

Organization structure

CorporationProprietary

Incorporated

Jun 2, 2000 in DE

Enrollment address

1350 E 750 N
Orem, UT 84097-4345
Main/Primary Hospital Location

Hospital subgroups

Psychiatric unit

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Uhs of Provo Canyon Inc

  dba Aspen Grove Behavioral Hospital

  • Psychiatric Hospital
  • Orem, UT
  • NPI 1598056053

  O20111020000053

  Same enrollment

Listed as

Aspen Grove Behavioral HospitalCCN 464014 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delbert P Pearson, MD

  • Psychiatry Physician
  • Provo, UT
  • NPI 1124045810
  NPD (past)
• Jeffrey Von Hill, M.D.

  • Child & Adolescent Psychiatry Physician
  • NPI 1215911359
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1609843523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045504",
            "telephone_number": "800-848-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045504",
            "telephone_number": "800-848-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS PROVO CANYON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/ SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "3701",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "3699",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "11043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000M0056",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131599140",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provo Canyon School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Uchytil
• Lily Cate Udall
• Tara Lee Udy, RN
• Shaylyn Uhi
• Megan Uhl
• Zachary David Ullery
• Rachel Umphress
• Scott Douglas Unice, MD
• Universal Health Systems (Provo Canyon School)
• University Obstetrics and Gynecology

• Psychiatric Residential Treatment Facility in Provo, UT
• Providers in Provo, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.