Individual provider Active NPI

Anthony Jerome Christophe, THERAPIST

  • Clinical Social Worker
  • Cottonwood Heights, UT
National Provider Identifier
1619297827
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10836743-3502 Issued in UT
Practice address
2450 E Ft Union Blvd
Cottonwood Heights, UT 84121-3337
Phone
(801) 428-3402
NPI assigned
Jun 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10836743-3502 UT Primary

Addresses

Primary practice location

2450 E Ft Union Blvd
Cottonwood Heights, UT 84121-3337

Mailing address

68 S 600 E
Salt Lake City, UT 84102-1007
Phone (801) 322-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10836743-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Roads Foundation Clinical PastSince Feb 6, 2022 Accepting new patients
Hilltop Medical Clinic, LLC PastSince Feb 6, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1619297827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021007",
            "telephone_number": "801-322-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E FT UNION BLVD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213337",
            "telephone_number": "801-428-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHE",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10836743-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.