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

Active since March 01, 2013CLIA 46D2083168 · Waiver
275 W 100 S, DELTA, UT 84624(435) 659-2368(435) 213-2810 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White River Academy NPPES

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

WHITE RIVER ACADEMY (NPI 1306186234) is a healthcare organization registered as a psychiatric residential treatment facility in Delta, Utah and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Justin Edward Nielson, Program Director, as its authorized official.

NPPES Registry Identity

NPI1306186234
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameWHITE RIVER ACADEMY
Location Address275 W 100 SDelta, UT 84624-9238
Mailing Address275 W 100 SDelta, UT 84624-9238 · (435) 659-2368 · Fax (435) 213-2810
Fax(435) 213-2810
Organization SubpartNo
Authorized OfficialJustin Edward NielsonProgram Director · (435) 659-2368
Enumeration DateMarch 1, 2013
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1306186234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
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
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
275 W 100 S, Delta, UT 84624

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 46D2083168

White River Academy, Inc · Delta, UT
Active · expires Aug 27, 2026
CLIA Number46D2083168
Laboratory TypeTreatment
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorJustin E. Nielson
Laboratory Phone(435) 659-2368
Laboratory LocationWhite River Academy, Inc275 W 100 S, Delta, UT 84624
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

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

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 White River Academy's NPI number?

The NPI number for White River Academy is 1306186234. It was assigned to this organization in the NPPES registry on March 1, 2013.

Where is White River Academy located?

White River Academy is located at 275 W 100 S, Delta, UT 84624. The listed phone number is (435) 659-2368.

What is White River Academy's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does White River Academy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2083168) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White River Academy was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.