WHITE RIVER ACADEMY
NPI 1306186234
Psychiatric Residential Treatment Facility in Delta, UT

NPI Status: Active since March 01, 2013

Contact Information

275 W 100 S
DELTA, UT
ZIP 84624
Phone: (435) 659-2368
Fax: (435) 213-2810

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 46D2083168
  • CLIA Cert. Type: Other - TREATMENT
  • CLIA Exp. Date: 08-27-2026

About WHITE RIVER ACADEMY

This page provides the complete NPI Profile along with additional information for White River Academy, a provider established in Delta, Utah operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1306186234 assigned on March 2013. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. White River Academy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Justin Edward Nielson (Program Director)

NPI
1306186234
Provider Name
WHITE RIVER ACADEMY
Entity Type
Organization
Location Address
275 W 100 S DELTA, UT 84624
Location Phone
(435) 659-2368
Location Fax
(435) 213-2810
Mailing Address
275 W 100 S DELTA, UT 84624
Mailing Phone
(435) 659-2368
Mailing Fax
(435) 213-2810
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2013
Last Update Date
10-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
22084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

 
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
4261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN EDWARD NIELSON

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(435) 659-2368

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2083168
Facility Type
Other - TREATMENT
Certificate Effective Date
August 28, 2024
Certificate Expiration Date
August 27, 2026
Laboratory Director
JUSTIN E. NIELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to White River Academy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WHITE RIVER ACADEMY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306186234, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 2 + 8 + 1 + 2 + 2 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1306186234.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
275 W 100 S
DELTA, UT 84624
Social Worker (Clinical)
275 W 100 S
DELTA, UT 84624
Counselor (Mental Health)
275 W 100 S
DELTA, UT 84624

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306186234, enumerated as an "organization" on March 01, 2013.

The provider is located at 275 W 100 S DELTA, UT 84624 and the phone number is (435) 659-2368.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.