D. B. TUG WAGSTAFF, LPC – NPI #1053638031
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
D. B. TUG WAGSTAFF, LPC is a residential treatment facility located in AMERICAN FORK, UT. NPPES has assigned the NPI number 1053638031 to D. B. TUG WAGSTAFF, LPC on April 29, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 13 years ago on Dec 12, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for D. B. TUG WAGSTAFF, LPC below.
NPI Profile for
D. B. TUG WAGSTAFF, LPC
(more than 16 years ago)
AMERICAN FORK, UT 84003-2914 Phone: (801) 376-4787 Fax:
OWNER
Phone: (801) 376-4787
Identifiers for D. B. TUG WAGSTAFF, LPC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PROFESSIONAL COUNSELOR LICENSE ISSUED BY STATE OF UTAH DEPT. OF COMMERCE | UT | 321749-6004 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
UT | 321749-6004 |
| 273R00000X - Psychiatric Unit |
UT | 321749-6004 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.