Organization Active NPI

Salt Lake Behavioral Health, LLC

  • Psychiatric Hospital
  • Salt Lake City, UT
National Provider Identifier
1811317373
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
2013-HOSP-98106 Issued in UT
Legal business name
SALT LAKE BEHAVIORAL HEALTH, LLC
Practice address
3802 S 700 E
Salt Lake City, UT 84106-1182
Phone
(801) 264-6000
Fax
(801) 264-6070
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mr. Greg G Winn
Title
Administrative Assistant
Phone
(801) 264-6035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 2013-HOSP-98106 UT Primary

Addresses

Primary practice location

3802 S 700 E
Salt Lake City, UT 84106-1182

Mailing address

3802 S 700 E
Salt Lake City, UT 84106-1182
Phone (801) 264-6035

National Provider Directory

National Provider Directory
Tax ID family
Salt Lake Behavioral Health3 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.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1811317373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061182",
            "telephone_number": "801-264-6035",
            "fax_number": "801-264-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061182",
            "telephone_number": "801-264-6000",
            "fax_number": "801-264-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "801-264-6035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "UT",
            "license": "2013-HOSP-98106",
            "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 23, 2014; 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.