Bridlewood Academy of Utah LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRIDLEWOOD ACADEMY OF UTAH LLC

Practice address

3746 S 4800 W
Wellsville, UT 84339-9785

Phone

(435) 245-2600

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daryn Reiner

Title

Executive Director

Phone

(541) 480-7758

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1851205157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "843390387",
            "telephone_number": "435-245-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 S 4800 W",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "843399785",
            "telephone_number": "435-245-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDLEWOOD ACADEMY OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "REINER",
        "authorized_official_first_name": "DARYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-480-7758"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taya Lynn Burzlaff, LCSW
• Cache Valley Interpreting Agency
• Tiffany Day
• Jeanette Cardon Dayley, CPM
• Alivia Mae Fonnesbeck, RD

• General Practice Physician in Wellsville, UT
• Providers in Wellsville, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.