NPIMap

Organization Active NPI

Telos

  • Mental Illness Community Based Residential Treatment Facility
  • Orem, UT
National Provider Identifier
1629513833
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
5079969-3501 Issued in UT
Legal business name
TELOS
Practice address
661 S 1200 W
Orem, UT 84058-5817
Phone
(801) 921-9726
NPI assigned
Dec 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Authorized official

Name
Craig Lamont
Title
Ceo
Phone
(801) 426-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 5079969-3501 UT Primary

Addresses

Primary practice location

661 S 1200 W
Orem, UT 84058-5817

Mailing address

870 W Center St
Orem, UT 84057-5202
Phone (801) 921-9726

National Provider Directory

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

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1629513833",
    "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": "801-921-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585817",
            "telephone_number": "801-921-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "LAMONT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-426-8800"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "5079969-3501",
            "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 Dec 23, 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.