Organization Active NPI

Wasatch Crest Treatment Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Park City, UT
National Provider Identifier
1760194559
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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 RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Richard H McDonald, CMHCNPI 1841858545
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address info@wasatchcrest.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2274233Wasatch Crest Treatment241 Highland Dr, Park City, UT 84098Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wasatch Crest Recovery2 organizations share this tax ID, including this one
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.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.