Rubicon Transformation Center, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RUBICON TRANSFORMATION CENTER, LLC

Practice address

822 E Main St Ste G101
Grantsville, UT 84029-2500

Phone

(801) 898-4686

Fax

(801) 931-2027

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Angela M. Demelo

Title

Office Manager

Phone

(801) 712-9640

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony L. Cloward, AMFT

  • Marriage & Family Therapist
  • Grantsville, UT
  • NPI 1548905458
  NPD (past)
• David William Scott, LMFT

  • Marriage & Family Therapist
  • Grantsville, UT
  • NPI 1356728158
  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1629567722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 E MAIN ST STE G",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840292501",
            "telephone_number": "801-898-4686",
            "fax_number": "801-931-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 E MAIN ST STE G101",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840292500",
            "telephone_number": "801-898-4686",
            "fax_number": "801-931-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 E South Temple Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841111243",
            "country_code": "US",
            "telephone_number": "435-248-2025",
            "fax_number": "801-931-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUBICON TRANSFORMATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "DEMELO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-712-9640"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braxton Preece
• Regina Tippets PLLC
• Regina Tippets PLLC
• Mariah Rennenmann
• Caidee Reudter
• Kalli Sanders
• SBB Pharmaceutical LLC
• Karina Schaffer
• Mary Schmidt
• David William Scott, LMFT

• Marriage & Family Therapist in Grantsville, UT
• Providers in Grantsville, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.