NPIMap

Organization Active NPI

Sundance Canyon East

  • Adolescent and Children Mental Health Clinic/Center
  • Draper, UT
National Provider Identifier
1659845352
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SUNDANCE CANYON EAST
Practice address
11457 S 700 W
Draper, UT 84020-9426
Phone
(866) 678-2425
NPI assigned
Jan 15, 2019
Organization subpart
Yes
Parent organization
SUNDANCE CANYON EASTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Sheri Hooper
Title
Financial Director
Phone
(866) 678-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

11457 S 700 W
Draper, UT 84020-9426

Mailing address

11457 S 700 W
Draper, UT 84020-9426
Phone (866) 678-2425

Other identifiers 1

IdentifierTypeStateIssuer
HLT-000051-2018OtherUTBUSINESS LICENSE

Other names 1

  • Sundance Canyon East Day Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sundance Canyon East3 organizations share this tax ID, including this one
Part of
Sundance Canyon East

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1659845352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11457 S 700 W",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209426",
            "telephone_number": "866-678-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11457 S 700 W",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209426",
            "telephone_number": "866-678-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE CANYON EAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNDANCE CANYON EAST",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "866-678-2425"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "HLT-000051-2018",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Canyon East Day Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.