Elevations RTC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

6916 Issued in UT

Legal business name

ELEVATIONS RTC

Practice address

2650 W 2700 S
Syracuse, UT 84075-9013

Phone

(801) 773-0200

Fax

(801) 773-0208

NPI assigned

May 2, 2014

Last updated

May 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jana Randall

Title

Billing Coordinator

Phone

(801) 773-0200

Specialties & licenses 1

Addresses

Other names 1

• Syracuse RTC LLC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frankie Lynn Davis, APRN, FNP-C

  • Family Nurse Practitioner
  • Syracuse, UT
  • NPI 1114148459
  NPD (past)
• Sajid Faizi, M.D

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1659386357
  NPD (past)
• Richard Jackson

  • Rehabilitation Psychologist
  • Syracuse, UT
  • NPI 1124240197
  NPD (past)

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1740690452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W 2700 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759013",
            "telephone_number": "801-773-0200",
            "fax_number": "801-773-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W 2700 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759013",
            "telephone_number": "801-773-0200",
            "fax_number": "801-773-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATIONS RTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "801-773-0200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "6916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syracuse RTC LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Grimm Dennis, MD
• Hayley Dixon
• Nancy Hanks Dorny, DNP
• Amanda Downs, LCSW
• Dr Hansens Family Dentistry LLC
• Elmore Chiropractic & Nutrition, LC
• Nathan Wesley Elmore, DC
• Tyler R Elmore, DC
• Families First Orthodontics
• Families First Pediatric Dentistry

• Emotionally Disturbed Childrens' Residential Treatment Facility in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.