Aspen Ridge Medical, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ASPEN RIDGE MEDICAL, LLC

Practice address

476 Heritage Park Blvd Ste 235
Layton, UT 84041-5713

Phone

(801) 529-3590

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Bryan Haslam

Title

Ceo

Phone

(801) 529-3590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1699359513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HERITAGE PARK BLVD STE 235",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HERITAGE PARK BLVD STE 235",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415713",
            "telephone_number": "801-529-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN RIDGE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-529-3590"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Arroyo, RPH
• Tim Asay
• Ascent Healing Counseling Solutions
• Eric R Ashby, MD
• Susan Christine Ashdown, PT, DPT
• Aspen Ridge Physical Therapy, LLC
• Aspire Counseling Services, LLC
• Assent ABA LLC
• Associated Fresh Markets Inc
• Victoria Atchley

• Substance Abuse Rehabilitation Facility in Layton, UT
• Providers in Layton, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.