Organization Active NPI

Uni Behavioral Health Clinics

  • Adolescent and Children Mental Health Clinic/Center
  • SLC, UT
National Provider Identifier
1720140114
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
UNI BEHAVIORAL HEALTH CLINICS
Practice address
650 Komas Dr
208
SLC, UT 84108-1215
Phone
(801) 585-1212
Fax
(801) 585-9096
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Jeannine Rushton-Fowler
Title
Contracting Director
Phone
(801) 587-6336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

650 Komas Dr
208
SLC, UT 84108-1215

Mailing address

PO Box 413076
Salt Lake City, UT 84141-3076
Phone (801) 585-1212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1720140114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413076",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413076",
            "telephone_number": "801-585-1212",
            "fax_number": "801-585-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 KOMAS DR",
            "address_2": "208",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841081215",
            "telephone_number": "801-585-1212",
            "fax_number": "801-585-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNI BEHAVIORAL HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "RUSHTON-FOWLER",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "CONTRACTING DIRECTOR",
        "authorized_official_telephone_number": "801-587-6336"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.