Organization Active NPI

Hub Medical and Behavioral

  • Addiction (Substance Use Disorder) Counselor
  • South Jordan, UT
National Provider Identifier
1780363713
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
HUB MEDICAL AND BEHAVIORAL
Practice address
1309 W South Jordan Pkwy Ste 200
South Jordan, UT 84095-9002
Phone
(801) 680-8751
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Neil Patrick WardleNPI 1225472848
Title
Group Owner
Phone
(801) 680-8751

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
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1309 W South Jordan Pkwy Ste 200
South Jordan, UT 84095-9002

Mailing address

461 W 13490 S
Draper, UT 84020-7223

National Provider Directory

National Provider Directory

Locations

1309 W South Jordan Pkwy
Ste 200
South Jordan, UT 84095
Phone (801) 680-8751

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": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1780363713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W 13490 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W SOUTH JORDAN PKWY STE 200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959002",
            "telephone_number": "801-680-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUB MEDICAL AND BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WARDLE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "GROUP OWNER",
        "authorized_official_telephone_number": "801-680-8751"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.