TRANSFORMATIVE CARE (NPI# 1649891953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649891953 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIVE CARE |
| Practice Address |
4055 S 700 E Ste 102f Salt Lake City UT 84107-2174 |
| Mailing Address |
1187 E Charlton Ave Salt Lake City UT 84106-2603 |
| Practice Telephone | 8016180852 |
| Mailing Telephone | 9286074677 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | JAMIE LEIGH BUSTAMANTE (PSYCHOLOGIST) |
| Authorized Official Telephone | 8016180852 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
4055 S 700 E STE 102F |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083592 | Veronique Markewitz | Social Worker | 4055 S 700 E Ste 102f, Salt Lake City, UT 84107-2174 | 2020-01-28 |
| 1649870684 | Hopeful Alliance | Social Worker | 4055 S 700 E Ste 102f, Salt Lake City, UT 84107-2174 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043604 | Brigg Noyes, Phd | Psychologist | 160 S 1000 E Ste 310, Suite 310, Salt Lake City, UT 84102-1474 | 2016-02-19 |
| 1922478650 | Karen Cone-uemura | Psychologist | 201 S 1460 East, Salt Lake City, UT 84112-9061 | 2015-10-07 |
| 1649674318 | Neal Christensen | Psychologist | 3713 S Twinbrook St, Salt Lake City, UT 84109-3713 | 2014-10-09 |
| 1578817532 | Melissa Alder | Psychologist | 1300s 1709e, Suite 200, Salt Lake City, UT 84108 | 2012-10-30 |
| 1598031460 | Seong-in Choi | Psychologist | 155 South 300 West, Asian Association of Utah, Salt Lake City, UT 84115-1217 | 2012-03-26 |
| 1861765554 | Steven Edward Mccowin | Psychologist | 4568 S Highland Dr, Ste 100, Salt Lake City, UT 84117-4234 | 2012-02-11 |
| 1437390473 | Susan Elizabeth Macnamara | Psychologist | 2340 Oneida St, Salt Lake City, UT 84109-1527 | 2009-03-22 |
| 1821269002 | Eric Hanson Phd | Psychologist | 2040 E Murray Holladay Road #222, Salt Lake City, UT 84117 | 2008-03-17 |
| 1497970677 | John D Richards | Psychologist | 3545 Avondale Dr, Salt Lake City, UT 84121-5502 | 2007-04-14 |
| 1891817060 | Paul Anthony Gore Jr. | Psychologist | 1705 Campus Center Dr, University of Utah, Salt Lake City, UT 84112-9299 | 2007-04-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.