OrganizationActive
Moonridge Academy
NPI 1164656815 · Emotionally Disturbed Childrens' Residential Treatment Facility · Cedar City, UT
Provider details
- NPI number
- 1164656815
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tawny Davis, Executive Director(435) 890-9180
- License
- 12809 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
9450 W 2400 S
Cedar City, UT 84720-6706
Phone: (435) 586-9585
Fax: (435) 586-4489
Street-level locationGet directions
Mailing address
9450 W 2400 S
Cedar City, UT 84720-6706
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.