WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
NPI 1356357115
Community/Behavioral Health in Provo, UT
NPI Status: Active since August 01, 2006
Contact Information
750 N FREEDOM BLVD
SUITE 300
PROVO, UT
ZIP 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 46D2195540
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-05-2027
About WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
This page provides the complete NPI Profile along with additional information for Wasatch Behavioral Health Special Service District, a provider established in Provo, Utah operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1356357115 assigned on August 2006. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Wasatch Behavioral Health Special Service District operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Wasatch Mental Health. The authorized official of this NPI record is Mr. Doran Williams Lcsw (Associate Directore)
- NPI
- 1356357115
- Provider Legal Name
- WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
- Other Organization Name
- WASATCH MENTAL HEALTH
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 750 N FREEDOM BLVD SUITE 300 PROVO, UT 84601
- Location Phone
- (801) 373-4760
- Location Fax
- (801) 373-0639
- Mailing Address
- 750 N FREEDOM BLVD SUITE 300 PROVO, UT 84601
- Mailing Phone
- (801) 373-4760
- Mailing Fax
- (801) 373-0639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 04-30-2021
- Code Navigator
Location Map
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | (UT) |
| 3 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870285565012 | MEDICAID (05) | UT |
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
- 46D2195540
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 06, 2025
- Certificate Expiration Date
- April 05, 2027
- Laboratory Director
- KIRSTYNN D. SNELSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Wasatch Behavioral Health Special Service District after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1356357115, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PROVO, UT 84601
PROVO, UT 84601
PROVO, UT 84601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356357115, enumerated as an "organization" on August 01, 2006.
The provider is located at 750 N FREEDOM BLVD SUITE 300 PROVO, UT 84601 and the phone number is (801) 373-4760.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.
