NPIMap

Organization Active NPI

Aspen Wilde Recovery

  • Community/Behavioral Health Agency
  • Orem, UT
National Provider Identifier
1891032553
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20073 Issued in UT
Legal business name
ASPEN WILDE RECOVERY
Practice address
931 W Center St
Orem, UT 84057-5203
Phone
(801) 784-8329
NPI assigned
Jan 14, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Mrs. Jennifer Ann Makin
Title
President / General Manager
Phone
(801) 427-2757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20073 UT Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 20074 UT

Addresses

Primary practice location

931 W Center St
Orem, UT 84057-5203

Mailing address

931 W Center St
Orem, UT 84057-5203
Phone (801) 784-8329

National Provider Directory

National Provider Directory

Locations

931 W Center St
Orem, UT 84057
Phone (801) 784-8329

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1891032553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575203",
            "telephone_number": "801-784-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575203",
            "telephone_number": "801-784-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN WILDE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "MAKIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT / GENERAL MANAGER",
        "authorized_official_telephone_number": "801-427-2757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "20073",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "20074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.