Organization Active NPI

Page Speiser L C S W P C

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1770879470
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
138965-3501 Issued in UT
Legal business name
PAGE SPEISER L C S W P C
Practice address
275 E South Temple Ste 101
Salt Lake City, UT 84111-1243
Phone
(801) 531-7389
Fax
(801) 364-1433
NPI assigned
Jun 22, 2011
Last updated
Oct 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Page Speiser, L C S W P CNPI 1104928654
Title
President
Phone
(801) 531-7389

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
Community/Behavioral Health Agency 251S00000X 138965-3501 UT Primary

Addresses

Primary practice location

275 E South Temple Ste 101
Salt Lake City, UT 84111-1243

Mailing address

275 E South Temple Ste 101
Salt Lake City, UT 84111-1243
Phone (801) 531-7389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219003258 UT Part B Supplier - Clinic/Group Practice 5294036216 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

275 E South Temple
Ste 101
Salt Lake Cty, UT 84111
Phone (801) 531-7389

Practitioners & affiliated clinicians

Practitioners 1

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1770879470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111243",
            "telephone_number": "801-531-7389",
            "fax_number": "801-364-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111243",
            "telephone_number": "801-531-7389",
            "fax_number": "801-364-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE SPEISER L C S W P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "SPEISER",
        "authorized_official_first_name": "PAGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-531-7389",
        "authorized_official_credential": "L C S W P C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "138965-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.