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DANIEL EDMUND BANELLIS
NPI 1194087015
Substance Abuse Rehabilitation Facility in Salt Lake City, UT

Active since June 15, 2012
411 GRANT ST, SALT LAKE CITY, UT 84116(801) 359-8862(801) 359-8510 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Edmund Banellis NPPES

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

DANIEL EDMUND BANELLIS (NPI 1194087015) is an individual substance abuse rehabilitation facility provider in Salt Lake City, Utah and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1194087015
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameDANIEL EDMUND BANELLIS
Location Address411 GRANT STSalt Lake City, UT 84116-2725
Mailing Address400 North 1756 West, Apt 56bSalt Lake City, UT 84116 · (801) 359-8862 · Fax (801) 359-8510
Phone(801) 359-8862
Fax(801) 359-8510
Sole ProprietorYes
Enumeration DateJune 15, 2012
✔ NPI 1194087015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
411 GRANT ST, Salt Lake City, UT 84116
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Other Identifiers 1

Medicaid1376550566UT

Other Providers at the Same Location NPPES 20

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

DOUGLAS RAY STAFFORD LPC
Counselor (Mental Health)
411 GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
MR. JEROME ANTHONY PIPER SR.
Counselor (Addiction (Substance Use Disorder))
411 GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
SABINE KREMP WEIL LPC
Counselor (Mental Health)
411 GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
MS. STACI M ROBINSON
Counselor (Mental Health)
411 GRANT ST
SLC, UT 84116
Salt Lake County (801) 359-8862
CATHERINE M CARTISANO
Counselor (Addiction (Substance Use Disorder))
411 GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8510
HEATHERLEE BENSON
Counselor
411 GRANT ST
SLC, UT 84116
Salt Lake County (801) 359-8862
CHERYL LYNNE GRAVES CSAC
Counselor (Addiction (Substance Use Disorder))
411 GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
ELIZABETH BYRNE
Counselor (Addiction (Substance Use Disorder))
411 GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862

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 Daniel Banellis's NPI number?

The NPI number for Daniel Banellis is 1194087015. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Daniel Banellis located?

Daniel Banellis practices at 411 Grant St, Salt Lake City, UT 84116. The listed phone number is (801) 359-8862.

What is Daniel Banellis's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Daniel Banellis was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.