A CHILD'S PLACE, LLC — NPI 1851233282 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent in SALT LAKE CITY, UT)

CMS-1500 Box 24J / 33a • NPI

1851233282

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TC2200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent

Box 32 Service Location & ZIP+4

4568 S HIGHLAND DR STE 100, SALT LAKE CITY, UT, 84117-4234

✓ 9-Digit EDI 837 ZIP+4 (84117-4234)

Practice Phone & Referral Fax

(801) 232-5363

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1851233282 (A CHILD'S PLACE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1851233282` (NPI-2 Organization / Facility)
Provider / Legal Name	A CHILD'S PLACE, LLC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent NUCC Code: `103TC2200X` (Psychologist, Clinical Child & Adolescent)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4568 S HIGHLAND DR STE 100, SALT LAKE CITY, UT, 84117-4234
Practice Telephone / Fax	Tel: (801) 232-5363
Administrative Mailing Address	4568 S HIGHLAND DR STE 100, SALT LAKE CITY, UT, 84117-4234
Enumeration & Last Sync	Enumerated: 2026-04-06 \| CMS Record Updated: 2026-04-06
Authorized Official	CARLA REYES (Owner/Psycholoigst)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4568 S HIGHLAND DR STE 100, SALT LAKE CITY, UT, 84117-4234

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Plain-English Taxonomy & CMS Crosswalk (103TC2200X)

What Does Taxonomy Code 103TC2200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC2200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical Child & Adolescent for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A CHILD'S PLACE, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC2200X` — Psychologist, Clinical Child & Adolescent Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A CHILD'S PLACE, LLC (NPI #1851233282)