Active NPI
Therapy on the Fly PLLC
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1740502970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6068455-3501
- Legal business name
- THERAPY ON THE FLY PLLC
- Practice address
- 298 24TH St
Suite 420
Ogden, UT 84401-1431 - Phone
- (801) 458-1516
- Fax
- (435) 836-2427
- NPI assigned
- Feb 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott A Peterson, LCWS
- Title
- Owner
- Phone
- (801) 458-1516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6068455-3501 | Primary |
Addresses
Primary practice location
298 24TH St
Suite 420
Ogden, UT 84401-1431
Mailing address
298 24TH St
Suite 420
Ogden, UT 84401-1431
Phone (801) 458-1516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427202266 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
298 24th St
Ste 420
Ogden, UT 84401
Phone (801) 458-1516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266192000000",
"number": "1740502970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 24TH ST",
"address_2": "SUITE 420",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011431",
"telephone_number": "801-458-1516",
"fax_number": "435-836-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 24TH ST",
"address_2": "SUITE 420",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011431",
"telephone_number": "801-458-1516",
"fax_number": "435-836-2427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY ON THE FLY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-15",
"last_updated": "2010-02-15",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-458-1516",
"authorized_official_credential": "LCWS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": "6068455-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1427202266",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.