NPIMap

Organization Active NPI

Children'S Service Society

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1801344726
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
27689 Issued in UT
Legal business name
CHILDREN'S SERVICE SOCIETY
Practice address
655 E 4500 S Ste 200
Salt Lake City, UT 84107-2969
Phone
(801) 326-4380
Fax
(801) 355-7453
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Mrs. Encarni Gallardo, MBA
Title
Executive Director
Phone
(801) 326-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 27689 UT Primary

Addresses

Primary practice location

655 E 4500 S Ste 200
Salt Lake City, UT 84107-2969

Mailing address

655 E 4500 S Ste 200
Salt Lake City, UT 84107-2969
Phone (801) 326-4380

National Provider Directory

National Provider Directory
Tax ID family
Children Service Society of Utah3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

655 E 4500 S
Ste 200
Salt Lake City, UT 84107
Phone (801) 326-4380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1801344726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 4500 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072969",
            "telephone_number": "801-326-4380",
            "fax_number": "801-355-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 4500 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072969",
            "telephone_number": "801-326-4380",
            "fax_number": "801-355-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "ENCARNI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-326-4380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "27689",
            "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 Sep 20, 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.