PROVO CANYON SCHOOL
NPI 1609843523
Psychiatric Residential Treatment Facility in Provo, UT

Active since March 01, 2006CLIA 46D0904471 · Waiver
4501 N UNIVERSITY AVE, PROVO, UT 84604(800) 848-9819 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Provo Canyon School NPPES

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

PROVO CANYON SCHOOL (NPI 1609843523) is a healthcare organization registered as a psychiatric residential treatment facility in Provo, Utah and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Steve Filton, Cfo/ Sr Vp, as its authorized official.

NPPES Registry Identity

NPI1609843523
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameUHS PROVO CANYON INC
Location Address4501 N UNIVERSITY AVEProvo, UT 84604-5504
Mailing Address4501 N University AveProvo, UT 84604-5504 · (800) 848-9819
Organization SubpartNo
Authorized OfficialSteve FiltonCfo/ Sr Vp · (610) 768-3300
Enumeration DateMarch 1, 2006
Last NPPES UpdateDecember 3, 2014
NPI 1609843523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Licenses Licensed in UT · 11043 Licensed in UT · 3701 Licensed in UT · 3699
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

4501 N UNIVERSITY AVE, Provo, UT 84604

Other Names 1

Doing Business AsProvo Canyon School

Other Identifiers 2

Medicaid000M0056NM
Medicaid131599140UT

Accepted Insurance

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 46D0904471

Provo Canyon School · Provo, UT
Active · expires Aug 21, 2027
CLIA Number46D0904471
Laboratory TypeOther
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorJeffrey V. Hill
Laboratory Phone(801) 491-3910
Laboratory LocationProvo Canyon School4501 N University Ave, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Psychiatry & Neurology (Psychiatry)
4501 N UNIVERSITY AVE
PROVO, UT 84604
Physician Assistant
4501 N UNIVERSITY AVE
PROVO, UT 84604
Registered Nurse
4501 N UNIVERSITY AVE
PROVO, UT 84604
Registered Nurse
4501 N UNIVERSITY AVE
PROVO, UT 84604
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
4501 N UNIVERSITY AVE
PROVO, UT 84604
Social Worker (Clinical)
4501 N UNIVERSITY AVE
PROVO, UT 84604
Counselor (Mental Health)
4501 N UNIVERSITY AVE
PROVO, UT 84604
Registered Nurse
4501 N UNIVERSITY AVE
PROVO, UT 84604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609843523, enumerated as an "organization" on March 01, 2006.

The provider is located at 4501 N UNIVERSITY AVE PROVO, UT 84604 and the phone number is (800) 848-9819.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

The provider might be accepting Accepts: Select Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.