UTAH STATE UNIVERSITY (NPI# 1063679785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063679785 |
| Entity Type | Organization |
| Organization Name | UTAH STATE UNIVERSITY |
| Practice Address |
6813 Old Main Hill Logan UT 84322-6813 |
| Mailing Address |
1415 Old Main Hill Logan UT 84322-1415 |
| Practice Telephone | 4357973822 |
| Mailing Telephone | 4357971226 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | MS. SHEGAY COOK (PROGRAMS ADMINISTRATOR) |
| Authorized Official Telephone | 4357971415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811054182 | Utah State University | Respite Care | 809 N 800 E, Logan, UT 84321-3634 | 2007-01-03 |
| 1174694095 | Utah State University | Clinic/Center | 6802 Old Main Hill, Logan, UT 84322-6802 | 2006-11-13 |
| 1629619010 | Utah State University | Behavioral Analyst | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-10-07 |
| 1447715701 | Utah State University | Specialist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-01-31 |
| 1144531419 | Utah State University | Day Training, Developmentally Disabled Services | 150 E Center St, Moab, UT 84532-2430 | 2010-07-01 |
| 1235374984 | Utah State University | Speech-Language Pathologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2008-12-10 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1811058076 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (BLANDING) | 639 W 100 S Suite 1-A, Blanding, UT 84511-4217 |
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (PRICE) | 451 E 400 N, Price, UT 84501-2626 |
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY SPACE DYNAMICS LABORATORY | 1695 N Research Pkwy, North Logan, UT 84341 |
| Street Address |
6813 OLD MAIN HILL |
| City | LOGAN |
| State | UT |
| Zip Code | 84322-6813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
| 1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
| 1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
| 1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
| 1356373807 | Utah State University, Center for Persons With Disabilities | Day Training, Developmentally Disabled Services | 6810 Old Main Hl, Logan, UT 84322-0001 | 2006-07-07 |
| 1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
| Find all providers in zip 84322 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558676239 | Behavioral Mental Health Services, PC | Community/Behavioral Health | 40 W Cache Valley Blvd Ste 10a, Logan, UT 84341-8450 | 2010-08-18 |
| 1821520826 | Renee Galliher Psychological Services LLC | Community/Behavioral Health | 965 S 100 W Ste 204, Logan, UT 84321-6072 | 2017-03-29 |
| 1598067480 | Kyle Max Hancock, Phd, PC | Community/Behavioral Health | 246 E 1260 N, Logan, UT 84341-7501 | 2010-11-27 |
| 1326192436 | Logan-mingo Area Mental Health, Inc. | Community/Behavioral Health | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-01-23 |
| 1124181136 | Summit Counseling Services, Inc | Community/Behavioral Health | 95 W 100 S, Suite 130, Logan, UT 84321-5810 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UTAH STATE UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.