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MOONRIDGE ACADEMY
NPI 1164656815
Residential Treatment Facility, Emotionally Disturbed Children in Cedar City, UT

Active since May 11, 2009CLIA 46D2234804 · Waiver
9450 W 2400 S, CEDAR CITY, UT 84720(435) 586-9585(435) 586-4489 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moonridge Academy NPPES

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

MOONRIDGE ACADEMY (NPI 1164656815) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Cedar City, Utah and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Tawny J Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164656815
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMOONRIDGE ACADEMY
Location Address9450 W 2400 SCedar City, UT 84720-6706
Mailing Address9450 W 2400 S, P.o. Box 1067Cedar City, UT 84720-6706 · (435) 586-9585 · Fax (435) 586-4489
Phone(435) 586-9585
Fax(435) 586-4489
Organization SubpartNo
Authorized OfficialTawny J DavisExecutive Director · (435) 890-9180
Enumeration DateMay 11, 2009
✔ NPI 1164656815 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
License✔ Licensed in UT · 12809
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.
9450 W 2400 S, Cedar City, UT 84720
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2234804

Moonridge Academy Rtc · Cedar City, UT
Active · expires Sep 1, 2027
CLIA Number46D2234804
Laboratory TypeResidential Treatment Cen
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorJack Hinman
Laboratory Phone(435) 704-7191
Laboratory LocationMoonridge Academy Rtc9450 W 2400 S, Cedar City, UT 84720
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ASHLEY PEREZ
Social Worker (Clinical)
9450 W 2400 S
CEDAR CITY, UT 84720
Iron County (435) 704-6008
JASON HARRISON
Social Worker (Clinical)
9450 W 2400 S
CEDAR CITY, UT 84720
Iron County (801) 865-9585
MOONRIDGE ACADEMY
Psychiatric Residential Treatment Facility
9450 W 2400 S
CEDAR CITY, UT 84720
Iron County (435) 586-9585
HANNAH HAWKINS
Counselor (Mental Health)
9450 W 2400 S
CEDAR CITY, UT 84720
Iron County (435) 599-1719
MRS. RUTH A WILLIAMS LCSW
Social Worker (Clinical)
9450 W 2400 S
CEDAR CITY, UT 84720
Iron County (435) 586-9465

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 Moonridge Academy's NPI number?

The NPI number for Moonridge Academy is 1164656815. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Moonridge Academy located?

Moonridge Academy is located at 9450 W 2400 S, Cedar City, UT 84720. The listed phone number is (435) 586-9585.

What is Moonridge Academy's specialty?

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

Does Moonridge Academy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2234804) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moonridge Academy was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.