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MAGELLAN ACADEMY, INC
NPI 1053706358
Residential Treatment Facility, Emotionally Disturbed Children in Spanish Fork, UT

Active since April 02, 2015
704 N STATE ROAD 51, SPANISH FORK, UT 84660(801) 794-0318(801) 794-9514 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magellan Academy, Inc NPPES

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

MAGELLAN ACADEMY, INC (NPI 1053706358) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Spanish Fork, Utah and active in the NPI registry since April 2015. The organization lists Paul Wiederhold, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053706358
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMAGELLAN ACADEMY, INC
Location Address704 N STATE ROAD 51Spanish Fork, UT 84660-1385
Mailing Address704 N State Road 51Spanish Fork, UT 84660-1385 · (801) 794-0318 · Fax (801) 794-9514
Phone(801) 794-0318
Fax(801) 794-9514
Organization SubpartNo
Authorized OfficialPaul WiederholdExecutive Director · (801) 794-0318
Enumeration DateApril 2, 2015
✔ NPI 1053706358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
704 N STATE ROAD 51, Spanish Fork, UT 84660
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY DESPAIN
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
MICHAEL BRANNIN
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
EXTENDED FAMILY, INC.
Residential Treatment Facility, Emotionally Disturbed Children
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
PAUL WIEDERHOLD
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
JACOB BROWN
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
EXTENDED FAMILY
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
TAYLOR BLEYL
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318
GREGORY DAVIDSON
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Utah County (801) 794-0318

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 Magellan Academy, Inc's NPI number?

The NPI number for Magellan Academy, Inc is 1053706358. It was assigned to this organization in the NPPES registry on April 2, 2015.

Where is Magellan Academy, Inc located?

Magellan Academy, Inc is located at 704 N State Road 51, Spanish Fork, UT 84660. The listed phone number is (801) 794-0318.

What is Magellan Academy, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Magellan Academy, Inc was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.