Active NPI
Wasatch Crest Treatment Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- WASATCH CREST TREATMENT SERVICES
- Practice address
- 241 Highland Dr
Park City, UT 84098-6405 - Phone
- (800) 385-3507
- NPI assigned
- Dec 23, 2022
- Organization subpart
- Yes
- Parent organization
- WASATCH CREST RECOVERY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard H McDonald, CMHC
- Title
- Executive Director
- Phone
- (949) 554-3611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
241 Highland Dr
Park City, UT 84098-6405
Mailing address
425 Moulton LN
Heber City, UT 84032-3843
Phone (801) 935-1593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@wasatchcrest.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2274233 | Wasatch Crest Treatment | Certificate of waiver | Dec 28, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Wasatch Crest Recovery
- Part of
- Wasatch Crest Recovery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Heber City, UT
- NPI 1528500592
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Abuse Rehabilitation Facility
- Heber City, UT
- NPI 1528500592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Heber City, UT
- NPI 1841858545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671753600000",
"number": "1760194559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 MOULTON LN",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323843",
"telephone_number": "801-935-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 HIGHLAND DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986405",
"telephone_number": "800-385-3507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH CREST TREATMENT SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WASATCH CREST RECOVERY",
"enumeration_date": "2022-12-23",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "949-554-3611",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@wasatchcrest.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "241 Highland Dr",
"city": "Park City",
"state": "UT",
"country_code": "US",
"postal_code": "840986405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.