Ikae, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

52521653501 Issued in UT

Legal business name

IKAE, INC

Practice address

640 E 700 S
Suite 207
Saint George, UT 84770-4023

Phone

(435) 628-2718

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By 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

Iuri Tiago Melo, LCSWNPI 1730342858

Title

Owner

Phone

(435) 986-1805

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Iuri Tiago Melo, LCSW

  • Clinical Social Worker
  • Washington, UT
  • NPI 1730342858
  Authorized official Same address or phone

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1659535243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 E SONORAN DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808261",
            "telephone_number": "435-986-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "SUITE 207",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-628-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKAE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MELO",
        "authorized_official_first_name": "IURI",
        "authorized_official_middle_name": "TIAGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-986-1805",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "52521653501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in St George, UT
• Providers in St George, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.