Sundance Canyon Treatment

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

52530 Issued in UT

Legal business name

SUNDANCE CANYON TREATMENT

Practice address

6948 W Dusty Rose Cir
Herriman, UT 84096-4710

Phone

(801) 473-6606

Fax

(801) 763-5758

NPI assigned

Nov 20, 2017

Organization subpart

Yes

Parent organization

SUNDANCE CANYON INCAs reported in NPPES

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

Authorized official

Name

Sheri Hooper

Title

Financial Director

Phone

(801) 473-6606

Specialties & licenses 1

Addresses

Part of

Sundance Canyon Academy

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1891209490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SLEDHILL CIR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041488",
            "telephone_number": "801-473-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6948 W DUSTY ROSE CIR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840964710",
            "telephone_number": "801-473-6606",
            "fax_number": "801-763-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE CANYON TREATMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNDANCE CANYON INC",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "801-473-6606"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "52530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly C Summers, DPT
• Summit Mohs Dermatology PLLC
• Sundance Canyon Academy
• Sundance Canyon Academy
• Sundance Canyon Inc
• Sunrise Wellness PLLC
• Marissa Tait
• Dawn Talbot, LMFT
• Tandem Health & Aesthetics LLC
• Tandem Health and Aesthetics LLC

• Adolescent and Children Mental Health Clinic/Center in Herriman, UT
• Providers in Herriman, UT by specialty
• Adolescent and Children Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.