OrganizationActive
D. B. Tug Wagstaff, Lpc
NPI 1053638031 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · American Fork, UT
Provider details
- NPI number
- 1053638031
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Doug 'Tug' Wagstaff, Owner(801) 376-4787
- License
- 321749-6004 (UT)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 321749-6004 (UT)
Residential Treatment Facilities
Hospital Units
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1021 E 70 N
American Fork, UT 84003-2914
Phone: (801) 376-4787
Street-level locationGet directions
Mailing address
1021 E 70 N
American Fork, UT 84003-2914
Registry dates
- Enumerated
- 2010-04-29
- Last updated
- 2012-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.