NPIMap

Organization Active NPI

Outback Therapeutic Expeditions

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lehi, UT
National Provider Identifier
1699084228
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
17992 Issued in UT
Legal business name
OUTBACK THERAPEUTIC EXPEDITIONS
Practice address
50 N 200 E
Lehi, UT 84043-1812
Phone
(801) 766-3933
Fax
(801) 766-3932
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Ms. Jeannine Thalman
Title
Office Manager
Phone
(801) 766-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 17992 UT Primary

Addresses

Primary practice location

50 N 200 E
Lehi, UT 84043-1812

Mailing address

50 N 200 E
Lehi, UT 84043-1812
Phone (801) 766-3933

National Provider Directory

National Provider Directory
Tax ID family
Outback Therapeutic Expeditions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

50 N 200 E
Lehi, UT 84043
Phone (801) 766-3933

Practitioners & affiliated clinicians

Practitioners 2

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": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1699084228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N 200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431812",
            "telephone_number": "801-766-3933",
            "fax_number": "801-766-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N 200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431812",
            "telephone_number": "801-766-3933",
            "fax_number": "801-766-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTBACK THERAPEUTIC EXPEDITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "THALMAN",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-766-3933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "17992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.