NPIMap

Organization Active NPI

James Mason Centers for Recovery

  • Adolescent and Children Mental Health Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1902288376
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
14684 Issued in UT
Legal business name
JAMES MASON CENTERS FOR RECOVERY
Practice address
986 W Atherton Dr Ste 270
Salt Lake City, UT 84123-6887
Phone
(801) 693-1192
NPI assigned
Jun 22, 2015
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Trisa McBride
Title
Ceo
Phone
(801) 652-4567

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 13725 UT
Adolescent and Children Mental Health Clinic/Center 261QM0855X 14684 UT Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 18622 UT

Addresses

Primary practice location

986 W Atherton Dr Ste 270
Salt Lake City, UT 84123-6887

Mailing address

986 W Atherton Dr Ste 270
Salt Lake City, UT 84123-6887
Phone (801) 693-1192

National Provider Directory

National Provider Directory

Locations

986 W Atherton Dr
Ste 270
Taylorsville, UT 84123
Phone (801) 693-1192

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1902288376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 W ATHERTON DR STE 270",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236887",
            "telephone_number": "801-693-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 W ATHERTON DR STE 270",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236887",
            "telephone_number": "801-693-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MASON CENTERS FOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "TRISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-652-4567"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "13725",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "14684",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "18622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.