NPIMap

Organization Active NPI

Maple Lake Academy

  • Psychiatric Residential Treatment Facility
  • Spanish Fork, UT
National Provider Identifier
1932467495
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
18290 Issued in UT
Legal business name
MAPLE LAKE ACADEMY
Practice address
6155 S 2400 W
Spanish Fork, UT 84660-4606
Phone
(801) 798-7700
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Margo L Vane
Title
Office Manager
Phone
(801) 798-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 18290 UT Primary

Addresses

Primary practice location

6155 S 2400 W
Spanish Fork, UT 84660-4606

Mailing address

6155 S 2400 W
Spanish Fork, UT 84660-4606
Phone (801) 798-7700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1932467495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 S 2400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846604606",
            "telephone_number": "801-798-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 S 2400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846604606",
            "telephone_number": "801-798-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LAKE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "VANE",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-798-7700"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "18290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.