Creative Minds Ut

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE MINDS UT

Practice address

411 W 7200 S Ste 411W7200
Midvale, UT 84047-1058

Phone

(702) 945-1065

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Jazzamin Clark, LIFE COACH

Title

Owner

Phone

(702) 945-1065

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Clothilde Cadena

  • Day Training/Habilitation Specialist
  • Taylorsville, UT
  • NPI 1215729405
  NPD (past)
• Lashawn Clark

  • Behavior Technician
  • Taylorsville, UT
  • NPI 1437958022
  NPD (past)
• Artaysia Worthey

  • Day Training/Habilitation Specialist
  • Taylorsville, UT
  • NPI 1790577971
  NPD (past)

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1851152847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 7200 S STE 411W7200",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471058",
            "telephone_number": "702-945-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 7200 S STE 411W7200",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471058",
            "telephone_number": "702-945-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MINDS UT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAZZAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-945-1065",
        "authorized_official_credential": "LIFE COACH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven E Craig, DPM
• Joseph G Cramer, MD
• Wayne Grant Crawford, PA-C
• Creative Behavioral Connections Utah
• Creative Behavioral Connections Utah
• Creators Legacy Homes LLC
• Creek Capital Anesthesia LLC
• Creek Capital Millcreek LLC
• Creek Capital Surgical Arts
• Creek Capital Surgical LLC

• Community/Behavioral Health Agency in Midvale, UT
• Providers in Midvale, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.