THE OCD AND ANXIETY TREATMENT CENTER (NPI# 1881079069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881079069 |
| Entity Type | Organization |
| Organization Name | THE OCD AND ANXIETY TREATMENT CENTER |
| Practice Address |
1459 N Main St Ste 100 Bountiful UT 84010-6092 |
| Practice Telephone | 8012982000 |
| Mailing Telephone | 8012982000 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | PAUL JOSEPH PETERSON (CEO/DIRECTOR) |
| Authorized Official Telephone | 8012982000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 5388245-3501 | UT | Agencies |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11260 S River Heights Drive, South Jordan, UT 84095 | 8012982000 | 8019511490 |
| Street Address |
1459 N MAIN ST STE 100 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528114667 | Paul Joseph Peterson | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010-6092 | 2007-01-25 |
| 1154742682 | Paula Thompson | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010 | 2013-12-31 |
| 1699055061 | Lynne Sill | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505357 | Karen Coulam, Msw, Lcsw, Counseling Services | Social Worker | 96 N 500 W, Bountiful, UT 84010-7078 | 2020-07-21 |
| 1073091492 | Suzanna Cressall | Social Worker | 880 S 650 E, Bountiful, UT 84010-3811 | 2018-07-30 |
| 1194218271 | Jamie Leigh Schipaanboord | Social Worker | 620 Medical Dr Ste 100, Bountiful, UT 84010-5175 | 2018-06-12 |
| 1285141424 | Kellie Yeates | Social Worker | 1236 E 2050 S, Bountiful, UT 84010-2234 | 2018-01-09 |
| 1851785919 | Independence Physician and Resource | Social Worker | 640 S 500 W, Bountiful, UT 84010-7210 | 2015-03-26 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1295177038 | Feller Behavioral Health Services | Social Worker | 537 W 2600 S Ste 203, Bountiful, UT 84010-7780 | 2013-07-22 |
| 1588927966 | Newel Ivan Nelson | Social Worker | 3565 Lexington Dr, Bountiful, UT 84010-5803 | 2012-06-20 |
| 1134417132 | Kelly Carl Feller | Social Worker | 537 W 2600 S, Suite 203, Bountiful, UT 84010-7779 | 2011-07-12 |
| 1750673091 | Agueda Skinner | Social Worker | 1927 S 1150 E, Bountiful, UT 84010-2263 | 2011-05-04 |
| Find all providers in BOUNTIFUL | ||||
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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.