Stillwater Academy

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

3732 Issued in UT

Legal business name

STILLWATER ACADEMY

Practice address

11175 S Redwood Rd
South Jordan, UT 84095-8208

Phone

(801) 484-9911

Fax

(801) 676-4150

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Jamie Caldwell

Title

Office Manager

Phone

(801) 484-9911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780004192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-484-9911",
            "fax_number": "801-676-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958208",
            "telephone_number": "801-484-9911",
            "fax_number": "801-676-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-09-11",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-484-9911"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Stephens
• Krista Stephenson
• Tiffany Stevens
• Natali Stevenson
• Crystal M Stewart, CMHC
• Cameron Stocking
• Everett Jackson Stockwell, D.C.
• Joseph Ross Stockwell, D.C.
• Shane Everett Stockwell, CRNA
• Stonehaven Dental - South Jordan, LLC

• Psychiatric Residential Treatment Facility in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.