TELOS (NPI# 1508309287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508309287 |
| Entity Type | Organization |
| Organization Name | TELOS |
| Practice Address |
870 W Center St Orem UT 84057-5202 |
| Practice Telephone | 8014268800 |
| Practice Fax Number | 8014268825 |
| Mailing Telephone | 8014268800 |
| Mailing Fax Number | 8014268825 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | CAMREON R. ARMSTRONG (PRIMARY THERAPIST) |
| Authorized Official Telephone | 8014268800 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | Y |
| Parent Organization Name | TELOS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 66066303501 | UT | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629513833 | Telos | Community Based Residential Treatment Facility, Mental Illness | 661 S 1200 W, Orem, UT 84058-5817 | 2016-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELOS | 19886 Ashburn Rd, Ashburn, VA 20147-2358 |
| Vermont Business Registrations | TELOS | 600 Brookline Rd, Townshend, VT 05353 |
| System for Award Management (SAM) Entities | TELOS 1 | 1003 W Atkinson Ave, Milwaukee, WI 53206-3047 |
| Colorado Business Entities | Telos Advisory, LLC | 2618 Meade St, Denver, CO 80211 |
| Colorado Business Entities | Telos Aerial, LLC | 1700 Lincoln Street, Suite 3030, Denver, CO 80203 |
| Colorado Business Entities | Telos Arete, PC | 150 Paularino Ave., Building B, Costa Mesa, CA 92626 |
| Oregon Corporations, Companies and Business Names | TELOS BRAND STRATEGY | 1142 Wooden Way, Eugene, OR 97404 |
| Iowa Business Entities | TELOS CAPITAL ASSET MANAGEMENT, LLC | 1450 Sw Vintage Pkwy Ste. 250, Ankeny, IA 50023 |
| Iowa Business Entities | TELOS CAPITAL FUND 1, LLC | 1450 Sw Vintage Pkwy Ste. 250, Ankeny, IA 50023 |
| New York State Corporations | TELOS CONSULTING GROUP, LLC | 68 Hidden Creek Court, Williamsville, Ny 14221 |
| Street Address |
870 W CENTER ST |
| City | OREM |
| State | UT |
| Zip Code | 84057-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386673788 | John Franklin Hall Iv | Marriage & Family Therapist | 870 W Center St, Orem, UT 84057-5202 | 2006-06-30 |
| 1124625637 | Barry Fell | Counselor | 870 W Center St, Orem, UT 84057-5202 | 2020-10-07 |
| 1407489271 | Brady Clegg | Social Worker | 870 W Center St, Orem, UT 84057-5202 | 2020-02-19 |
| 1437797636 | Dallin Douglas Parkinson | Marriage & Family Therapist | 870 W Center St, Orem, UT 84057-5202 | 2019-12-18 |
| 1750924304 | Telos Neuro Health | Clinic/Center | 870 W Center St, Orem, UT 84057-5202 | 2019-10-25 |
| 1760954259 | Cameron Reid Armstrong | Social Worker | 870 W Center St, Orem, UT 84057-5202 | 2018-12-20 |
| 1770091456 | Aaron Clifford Johnson | Social Worker | 870 W Center St, Orem, UT 84057-5202 | 2018-01-17 |
| 1386163962 | Nathan Sellers | Social Worker | 870 W Center St, Orem, UT 84057-5202 | 2017-09-14 |
| 1760905319 | Joshua Kirk Thorn | Social Worker | 870 W Center St, Orem, UT 84057-5202 | 2017-07-25 |
| 1528223195 | Telos Residential Treatment LLC | Community Based Residential Treatment Facility, Mental Illness | 870 W Center St, Orem, UT 84057-5202 | 2008-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1588116834 | Telos U LLC | Psychiatric Residential Treatment Facility | 600 S Geneva Rd, Orem, UT 84058-5803 | 2016-11-02 |
| 1821453200 | Traci Naylor | Psychiatric Residential Treatment Facility | 361 E 1200 S, Orem, UT 84058-6904 | 2015-12-29 |
| 1770896680 | Provo Canyon School | Psychiatric Residential Treatment Facility | 1317 E 750 N, Orem, UT 84097-5480 | 2010-07-20 |
| 1922249242 | Provo Canyon School Inc | Psychiatric Residential Treatment Facility | 1350 E 750 N, Orem, UT 84097-4345 | 2009-03-17 |
| 1467605576 | Uhs of Timpanogos, Inc. | Psychiatric Residential Treatment Facility | 1790 N State St, Orem, UT 84057-2025 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872724 | Care Youth Corporation-lava Heights | Psychiatric Residential Treatment Facility | 730 East Spring Drive, Toquerville, UT 84774-7742 | 2020-08-19 |
| 1053946095 | Recovery Innovations Inc | Psychiatric Residential Treatment Facility | 2411 S 1070 W Ste B, West Valley City, UT 84119-1570 | 2020-03-10 |
| 1518460369 | Uinta Academy Rtc, LLC | Psychiatric Residential Treatment Facility | 3746 S 4800 W, Wellsville, UT 84339-9785 | 2018-03-16 |
| 1679085963 | Zion Hills Academy, Inc. | Psychiatric Residential Treatment Facility | 5088 Veterans Memorial Dr, Enoch, UT 84721-7826 | 2017-10-26 |
| 1174051072 | Bridge House | Psychiatric Residential Treatment Facility | 235 S 200 E, Farmington, UT 84025-2320 | 2017-05-23 |
| 1568900116 | Maple Lake Academy for Boys | Psychiatric Residential Treatment Facility | 6612 S 3200 W, Benjamin, UT 84660-4123 | 2017-02-03 |
| 1619412046 | Awakening Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2973 W 13800 S, Bluffdale, UT 84065-8202 | 2016-12-20 |
| 1245787324 | Sequel Youth Services of Lava Heights | Psychiatric Residential Treatment Facility | 730 E. Spring Drive, Toquerville, UT 84774 | 2016-09-06 |
| 1295188209 | Care Youth Corporation | Psychiatric Residential Treatment Facility | 750 E Sr 9, Virgin, UT 84779-7726 | 2016-07-14 |
| 1184089013 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 3149 E 9800 S, Sandy, UT 84092-4213 | 2015-12-18 |
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| 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.