Organization Active NPI

Daily Practice Therapy

  • Adult Mental Health Clinic/Center
  • South Jordan, UT
National Provider Identifier
1639863095
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DAILY PRACTICE THERAPY
Practice address
10808 S River Front Pkwy Ste 366
South Jordan, UT 84095-6300
Phone
(808) 779-5273
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Christina Ellwanger, LCSWNPI 1245977602
Title
Owner, Therapist
Phone
(808) 779-5273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

10808 S River Front Pkwy Ste 366
South Jordan, UT 84095-6300

Mailing address

10808 S River Front Pkwy Ste 366
South Jordan, UT 84095-6300
Phone (808) 779-5273

Other practice location 1

4503 W Ripple Dr
West Jordan, UT 84088-2328
Phone (808) 779-5273

National Provider Directory

National Provider Directory

Locations

10808 S River Front Pkwy
Ste 366
South Jordan, UT 84095
Phone (808) 779-5273

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1639863095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 366",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956300",
            "telephone_number": "808-779-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 366",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956300",
            "telephone_number": "808-779-5273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 W Ripple Dr",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840882328",
            "country_code": "US",
            "telephone_number": "808-779-5273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAILY PRACTICE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "ELLWANGER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "808-779-5273",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.