Active NPI
Sequel Youth Services of Falcon Ridge
- Psychiatric Residential Treatment Facility
- St George, UT
National Provider Identifier
1891235701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 84001266004
- Legal business name
- SEQUEL YOUTH SERVICES OF FALCON RIDGE
- Practice address
- 747 E Saint George Blvd
Falcon Ridge Ranch
Saint George, UT 84770-3035 - Phone
- (435) 635-5260
- Fax
- (435) 635-5327
- NPI assigned
- Feb 27, 2017
- Last updated
- Feb 27, 2017
- Organization subpart
- Yes
- Parent organization
- CARE YOUTH CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amanda Nelson, MHC, CMHC
- Title
- Therapist
- Phone
- (435) 635-5260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 84001266004 | UT | Primary |
Addresses
Primary practice location
747 E Saint George Blvd
Falcon Ridge Ranch
Saint George, UT 84770-3035
Mailing address
PO Box 790099
Virgin, UT 84779-0099
Phone (435) 635-5260
Other names 1
- Falcon Ridge Ranch
National Provider Directory
National Provider Directory- Tax ID family
- Falcon Ridge Ranch
- Part of
- Care Youth Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Virgin, UT
- NPI 1851831333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Virgin, UT
- NPI 1265749154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1891235701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790099",
"city": "VIRGIN",
"state": "UT",
"postal_code": "847790099",
"telephone_number": "435-635-5260",
"fax_number": "435-635-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 E SAINT GEORGE BLVD",
"address_2": "FALCON RIDGE RANCH",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847703035",
"telephone_number": "435-635-5260",
"fax_number": "435-635-5327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUEL YOUTH SERVICES OF FALCON RIDGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARE YOUTH CORPORATION",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "435-635-5260",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MHC, CMHC"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "UT",
"license": "84001266004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Falcon Ridge Ranch",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.