NPIMap

Organization Active NPI

Anicka Inc

  • Adult Mental Health Clinic/Center
  • South Salt Lake, UT
National Provider Identifier
1992346704
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANICKA INC
Practice address
3195 South Main St
Ste 260
South Salt Lake, UT 84115
Phone
(385) 333-6403
Fax
(810) 303-7383
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Corinne DaltonNPI 1336732882
Title
Director
Phone
(801) 654-9391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3195 South Main St
Ste 260
South Salt Lake, UT 84115

Mailing address

3195 South Main St
Ste 260
South Salt Lake, UT 84115
Phone (385) 333-6403

National Provider Directory

National Provider Directory

Locations

3195 S Main St
Ste 260
South Salt Lake, UT 84115
Phone (385) 333-6403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1992346704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SOUTH MAIN ST",
            "address_2": "STE 260",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "84115",
            "telephone_number": "385-333-6403",
            "fax_number": "810-303-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SOUTH MAIN ST",
            "address_2": "STE 260",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "84115",
            "telephone_number": "385-333-6403",
            "fax_number": "810-303-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANICKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-654-9391"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.