NPIMap

Organization Active NPI

Family Support Center of Ogden, Inc.

  • Community/Behavioral Health Agency
  • Ogden, UT
National Provider Identifier
1760788285
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17491 Issued in UT
Legal business name
FAMILY SUPPORT CENTER OF OGDEN, INC.
Practice address
3340 Harrison Blvd
Suite 100
Ogden, UT 84403-1200
Phone
(801) 393-3113
Fax
(801) 394-1910
NPI assigned
Jan 31, 2011
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Pamela Clark, M.A., M.F.C.C.NPI 1942554910
Title
Executive Director
Phone
(801) 393-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17491 UT Primary

Addresses

Primary practice location

3340 Harrison Blvd
Suite 100
Ogden, UT 84403-1200

Mailing address

3340 Harrison Blvd
Suite 100
Ogden, UT 84403-1200
Phone (801) 393-3113

National Provider Directory

National Provider Directory

Locations

3340 Harrison Blvd
Ste 100
Ogden, UT 84403
Phone (801) 393-3113

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1760788285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HARRISON BLVD",
            "address_2": "SUITE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031200",
            "telephone_number": "801-393-3113",
            "fax_number": "801-394-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HARRISON BLVD",
            "address_2": "SUITE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031200",
            "telephone_number": "801-393-3113",
            "fax_number": "801-394-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT CENTER OF OGDEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-393-3113",
        "authorized_official_credential": "M.A., M.F.C.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "17491",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2011; 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.