D. B. TUG WAGSTAFF, LPC
NPI 1053638031
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in American Fork, UT

Active since April 29, 2010
1021 E 70 N, AMERICAN FORK, UT 84003(801) 376-4787 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About D. B. Tug Wagstaff, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D. B. TUG WAGSTAFF, LPC (NPI 1053638031) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in American Fork, Utah and active in the NPI registry since April 2010. The organization lists Doug 'tug' B. Wagstaff, Owner, as its authorized official.

NPPES Registry Identity

NPI1053638031
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameD. B. TUG WAGSTAFF, LPC
Location Address1021 E 70 NAmerican Fork, UT 84003-2914
Mailing Address1021 E 70 NAmerican Fork, UT 84003-2914 · (801) 376-4787
Organization SubpartNo
Authorized OfficialDoug 'tug' B. WagstaffOwner · (801) 376-4787
Enumeration DateApril 29, 2010
Last NPPES UpdateDecember 12, 2012
NPI 1053638031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in UT · 321749-6004
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedPsychiatric UnitTaxonomy 273R00000X · License 321749-6004 (UT)
1021 E 70 N, American Fork, UT 84003

Other Identifiers 1

Other321749-6004UT · Professional Counselor License Issued By State Of Utah Dept. Of Commerce

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D. B. Tug Wagstaff, Lpc's NPI number?

The NPI number for D. B. Tug Wagstaff, Lpc is 1053638031. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is D. B. Tug Wagstaff, Lpc located?

D. B. Tug Wagstaff, Lpc is located at 1021 E 70 N, American Fork, UT 84003. The listed phone number is (801) 376-4787.

What is D. B. Tug Wagstaff, Lpc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for D. B. Tug Wagstaff, Lpc was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.