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MAKANA LEADERSHIP ACADEMY
NPI 1467077750
Clinic/Center - Adolescent and Children Mental Health in Roosevelt, UT

Active since June 11, 2020
4270 W 5625 N, ROOSEVELT, UT 84066(435) 353-4498(435) 353-4898 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Makana Leadership Academy NPPES

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

MAKANA LEADERSHIP ACADEMY (NPI 1467077750) is a healthcare organization registered as an adolescent and children mental health in Roosevelt, Utah and active in the NPI registry since June 2020. The organization lists Sharon K Sperry-clegg, Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1467077750
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMAKANA LEADERSHIP ACADEMY
Location Address4270 W 5625 NRoosevelt, UT 84066-4824
Mailing Address4270 W 5625 NRoosevelt, UT 84066-4824 · (435) 353-4498 · Fax (435) 353-4898
Phone(435) 353-4498
Fax(435) 353-4898
Organization SubpartNo
Authorized OfficialSharon K Sperry-cleggCompliance Director · (801) 859-3505
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1467077750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMealsTaxonomy 174200000X
Also ListedLodgingTaxonomy 177F00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
4270 W 5625 N, Roosevelt, UT 84066
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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

Other Providers at the Same Location NPPES 2

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

MR. JACOB AUNA
Social Worker (Clinical)
4270 W 5625 N
ROOSEVELT, UT 84066
Duchesne County (435) 353-4498
ROBERT A NIELSON MS, MFT
Marriage & Family Therapist
4270 W 5625 N
ROOSEVELT, UT 84066
Duchesne County (435) 353-4498

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 Makana Leadership Academy's NPI number?

The NPI number for Makana Leadership Academy is 1467077750. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Makana Leadership Academy located?

Makana Leadership Academy is located at 4270 W 5625 N, Roosevelt, UT 84066. The listed phone number is (435) 353-4498.

What is Makana Leadership Academy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Makana Leadership Academy was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.