Saint Anthony's Treatment House LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20825 Issued in UT

Legal business name

SAINT ANTHONY'S TREATMENT HOUSE LLC

Doing business as

The Utah House

Practice address

1370 S West Temple
Salt Lake City, UT 84115-5218

Phone

(801) 678-3317

Fax

(385) 229-4324

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By 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

Alycia Jurgela, LPCNPI 1386945095

Title

Ceo

Phone

(801) 678-3317

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Utah House Doing business as

Tax ID family

Saint Anthony's Treatment House LLC2 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.

• St Anthony House Treatment Program

  dba The Utah House

  • Community/Behavioral Health Agency
  • South Salt Lake, UT
  • NPI 1861774994
  NPD tax ID

Locations

Practitioners 1

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.

• Alycia Erika Jurgela, LPC

  • Mental Health Counselor
  • South Salt Lake, UT
  • NPI 1386945095
  NPD (past) Authorized official

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1972930501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S WEST TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155218",
            "telephone_number": "801-678-3317",
            "fax_number": "385-229-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S WEST TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155218",
            "telephone_number": "801-678-3317",
            "fax_number": "385-229-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANTHONY'S TREATMENT HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "JURGELA",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-678-3317",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "20825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477985516",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Utah House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Saich, MS
• Melody Sain
• Sabrina Saini
• Satwant Kaur Saini
• Saurab Sainju, PA-C
• Anthony Sainz
• Tiana Morgan Alina Saitman
• Akhil Abraham Saji, MD
• Farrant Hiroshi Sakaguchi, MD
• Derek Jo Sakata, MD

• Community/Behavioral Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.