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NPI Record: ActiveCommunity Based Residential Treatment Facility, Mental Illness
NPI1639927684
Salt Lake City, Utah

Provider's NPPES record last updated: May 7, 2024

Overview

Entity Type
Organization
NPI
1639927684
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Practice Location
Salt Lake City, Utah
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:28 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Community Based Residential Treatment Facility, Mental Illness

    Residential Treatment Facilities

    Primary

    A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

    Taxonomy code 320800000X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Psychologist

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

    Taxonomy code 103TA0400X
  • Social Worker

    Clinical

    Behavioral Health & Social Service Providers

    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

    Taxonomy code 1041C0700X
  • Behavior Technician

    Behavioral Health & Social Service Providers

    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

    Taxonomy code 106S00000X
  • Dietary Manager

    Dietary & Nutritional Service Providers

    A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.

    Taxonomy code 132700000X
  • Registered Nurse

    Psychiatric/Mental Health, Adult

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WP0809X
  • Case Manager/Care Coordinator

    Other Service Providers

    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

    Taxonomy code 171M00000X
  • Music Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.

    Taxonomy code 225A00000X
  • Clinic/Center

    Mental Health (Including Community Mental Health Center)

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QM0801X
  • Clinic/Center

    Rehabilitation, Substance Use Disorder

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QR0405X
  • Physician Assistant

    Medical

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363AM0700X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X
  • Nurse Practitioner

    Psychiatric/Mental Health

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LP0808X

Practice Locations

Practice Location

150 S 600 E Ste 3a

Salt Lake City, Utah 84102-1961

Phone: (801) 792-5557

Record Information

Enumeration Date
May 7, 2024
Provider's NPPES Record Last Updated
May 7, 2024
Certification Date
May 6, 2024
NPISignal NPPES Dataset
August 2026

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