Utah Preparatory Academy

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

12683 Issued in UT

Legal business name

UTAH PREPARATORY ACADEMY

Practice address

920 North 0000 East-West
Manti, UT 84642

Phone

(435) 835-4475

Fax

(435) 835-4474

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diana Lynn Robbins

Title

Executive Director

Phone

(435) 835-4475

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942415666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846420243",
            "telephone_number": "435-835-4475",
            "fax_number": "435-835-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NORTH 0000 EAST-WEST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "84642",
            "telephone_number": "435-835-4475",
            "fax_number": "435-835-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PREPARATORY ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-835-4475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "12683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Sanpete School District
• Arden Thomas
• Carol Erickson Tibbs, MSW, LCSW
• Nicholas Evan Tibbs
• Tyler K Miller (Sleep Rite Solutions)
• Aubrey T Van Orman, CSW
• Kelly Weeks
• Christy Westlund
• Anona Mullins Willden, CCC-SLP
• Kristina Kelsch Winkel, RN

• Emotionally Disturbed Childrens' Residential Treatment Facility in Manti, UT
• Providers in Manti, UT by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.