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Active NPI 1154714913 Organization (Entity Type 2)

Regenesys

Community/Behavioral Health • Orem, UT

About Regenesys NPI 1154714913 Summary

Regenesys is a verified healthcare organization specializing in Community/Behavioral Health operating in Orem, UT. Located at 1429 S 550 E, #4, this facility provides patient care and medical services under National Provider Identifier (NPI) 1154714913.

Administrative operations and authorized compliance are overseen by Russell Gaede (Director).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1429 S 550 E
#4

Orem, UT 840977793

Telephone 8014101671

Authorized Official Information

Authorized Contact Name

DR. Russell Gaede , PSYD, CMHC

Title / Role

Director

Official Telephone

8014101671

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Marriage & Family Therapist

Orem, UT

View Practitioner Profile →
Cody Merrell NPI 1740601095

Social Worker - Clinical

Orem, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 17, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 17, 2015

Registered at 1429 S 550 E, #4, OREM, UT 840977793 (Tel: 8014101671)

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Updated Business Mailing Address March 17, 2015

Registered at 1429 S 550 E, #4, OREM, UT 840977793

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Organization / Clinic Name Updated March 17, 2015

Operating as REGENESYS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2015

Community/Behavioral Health (License #268792-6004 in UT)

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Initial NPI Registration & Enumeration March 17, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1154714913
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 17, 2015
Last Update: March 17, 2015

Mailing Address

1429 S 550 E, #4

Orem, UT 840977793

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.