Spirit Mountain Behavioral Health Services

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

35937 Issued in UT

Legal business name

SPIRIT MOUNTAIN BEHAVIORAL HEALTH SERVICES

Practice address

5145 Airport Rd
Roy, UT 84067-3693

Phone

(801) 336-0658

Fax

(801) 752-1717

NPI assigned

Jan 27, 2017

Organization subpart

Yes

Parent organization

SPIRIT MOUNTAIN RECOVERYAs reported in NPPES

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

Authorized official

Name

Mr. Edward Christian Farni

Title

President

Phone

(612) 805-5231

Specialties & licenses 2

Addresses

Tax ID family

Spirit Mountain Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spirit Mountain Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Eden, UT
  • NPI 1336695402
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Spirit Mountain Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Eden, UT
  • NPI 1336695402
  NPPES parent name

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1962949966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 AIRPORT RD",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673693",
            "telephone_number": "801-336-0658",
            "fax_number": "801-752-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 AIRPORT RD",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673693",
            "telephone_number": "801-336-0658",
            "fax_number": "801-752-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT MOUNTAIN BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPIRIT MOUNTAIN RECOVERY",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "FARNI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-805-5231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "UT",
            "license": "38905",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "UT",
            "license": "35937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Smith
• Jerrin Kenneth Snook, DPT
• Angaleah Sotelo
• Sara Ann Speller, MOTR/L
• Trent Walker Spinden
• Kyle Benjamin Staheli, DPT
• Standard Optical Co
• Patricia Stanley
• Danyel Steverson
• Brad Stewart, D.D.S.

• Substance Use Disorder Rehabilitation Hospital Unit in Roy, UT
• Providers in Roy, UT by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Utah

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

Verify at the official NPI Registry.