NPIMap

Organization Active NPI

Odyssey House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1801162995
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
11881 Issued in UT
Legal business name
ODYSSEY HOUSE
Practice address
350 E 2100 S
Salt Lake City, UT 84115-2266
Phone
(801) 322-1185
Fax
(801) 322-4002
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Emily Tillett
Title
Director of Business Ops
Phone
(801) 428-3487

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 11881 UT
Adult Mental Health Clinic/Center 261QM0850X 11881 UT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 11881 UT Primary

Addresses

Primary practice location

350 E 2100 S
Salt Lake City, UT 84115-2266

Mailing address

350 E 2100 S
Salt Lake City, UT 84115-2266
Phone (801) 322-1185

National Provider Directory

National Provider Directory
Tax ID family
Odyssey House Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1801162995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152266",
            "telephone_number": "801-322-1185",
            "fax_number": "801-322-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152266",
            "telephone_number": "801-322-1185",
            "fax_number": "801-322-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "TILLETT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "801-428-3487"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "11881",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "11881",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "11881",
            "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 Apr 5, 2016; 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.