MR. MATTHEW RYAN MERBACK (NPI# 1811213622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811213622 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW RYAN MERBACK |
| Credential | LPC |
| Practice Address |
49 E 200 S Clearfield UT 84015-1047 |
| Practice Telephone | 8017063034 |
| Mailing Telephone | 8017063034 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 292638-6004 | UT | Residential Treatment Facilities |
| Street Address |
49 E 200 S |
| City | CLEARFIELD |
| State | UT |
| Zip Code | 84015-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265448104 | Rachelle A Rose | Psychologist | 49 E 200 S, Northern Utah Mental Counseling, Clearfield, UT 84015-1047 | 2006-07-31 |
| 1154971588 | Jay A. Eldredge | Social Worker | 49 E 200 S, Clearfield, UT 84015 | 2019-09-17 |
| 1316439144 | Andi Catherine | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2018-06-06 |
| 1366942880 | Brittney Olsen | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2018-02-21 |
| 1609253905 | Jeffrey Martin Hall | Student in an Organized Health Care Education/Training Program | 49 E 200 S, Clearfield, UT 84015-1047 | 2015-05-06 |
| 1063843308 | Northern Utah Mental Counseling Inc | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2013-12-12 |
| 1700159852 | Matthew Dunham | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2012-02-21 |
| 1124305834 | Paul W. Dawson | Social Worker | 49 E 200 S, Clearfield, UT 84015-1047 | 2011-11-08 |
| 1891079331 | Cari Breann Hamilton | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2011-10-03 |
| 1770819153 | Darwin Phil Crosland | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2009-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1619459104 | Jaime W Jones | Registered Nurse | 412 North 4950 West, West Point, UT 84015 | 2018-08-31 |
| 1295272557 | Wendy Fleming | Registered Nurse | 22 So. State Street, Davis County Health Dept, Clearfield, UT 84015 | 2017-01-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1093118291 | April Riney | Counselor | 189 S State St Ste 235b, Clearfield, UT 84015 | 2014-10-01 |
| 1457779381 | Katherine Olsen | Registered Nurse | 22 S. State St., Clearfield, UT 84015 | 2014-03-28 |
| 1336560218 | Lauren April Call | Registered Nurse | 22 S. State St, Clearfield, UT 84015 | 2013-12-19 |
| 1568803377 | John Gaspare Rino | Physical Therapist | 29 C St, Clearfield, UT 84015 | 2013-07-09 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| Find all providers in zip 84015 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225483 | Youth Health Associates | Community Based Residential Treatment Facility, Mental Illness | 387 E 450 S, Clearfield, UT 84015-1734 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872516 | Davis Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 2250 N Robins Dr, Layton, UT 84041-1140 | 2019-07-15 |
| 1710444245 | New Focus Academy | Community Based Residential Treatment Facility, Mental Illness | 1268 N Valley Heights Cir, Heber City, UT 84032-4591 | 2019-02-20 |
| 1871066365 | Sundance Canyon East | Community Based Residential Treatment Facility, Mental Illness | 11457 S 700 W, Draper, UT 84020-9426 | 2019-01-07 |
| 1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
| 1932646148 | Canyon River Ranch | Community Based Residential Treatment Facility, Mental Illness | 244 Ogden Cyn, Ogden, UT 84401-0958 | 2017-01-25 |
| 1629513833 | Telos | Community Based Residential Treatment Facility, Mental Illness | 661 S 1200 W, Orem, UT 84058-5817 | 2016-12-23 |
| 1982150256 | Sequel Youth Services of Falcon Ridge Ranch | Community Based Residential Treatment Facility, Mental Illness | 633 East Highway, Virgin, UT 84779 | 2016-08-28 |
| 1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
| 1942667597 | Mosaic House- Certs | Community Based Residential Treatment Facility, Mental Illness | 1488 E Vine St, Murray, UT 84121-1958 | 2016-01-26 |
| 1427425859 | Gateway Academy, LLC | Community Based Residential Treatment Facility, Mental Illness | 2487 S 700 E, Salt Lake City, UT 84106-1722 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 84015 |
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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.