NPIMap

Organization Active NPI

Catalyst Residential Treatment

  • Children's Substance Abuse Rehabilitation Facility
  • Brigham City, UT
National Provider Identifier
1922323203
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
16063 Issued in UT
Legal business name
CATALYST RESIDENTIAL TREATMENT
Practice address
970 S 1025 W
Brigham City, UT 84302-6711
Phone
(435) 723-4600
Fax
(435) 723-4700
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Mr. Adam Malan Poll, LMFT
Title
Clinical Director
Phone
(435) 723-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 16063 UT Primary

Addresses

Primary practice location

970 S 1025 W
Brigham City, UT 84302-6711

Mailing address

970 S 1025 W
Brigham City, UT 84302-6711
Phone (435) 723-4600

National Provider Directory

National Provider Directory

Locations

970 S 1025 W
Brigham City, UT 84302
Phone (435) 723-4600

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1922323203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S 1025 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843026711",
            "telephone_number": "435-723-4600",
            "fax_number": "435-723-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S 1025 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843026711",
            "telephone_number": "435-723-4600",
            "fax_number": "435-723-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST RESIDENTIAL TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "POLL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MALAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "435-723-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "UT",
            "license": "16063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.