OrganizationActive
Cedar Ridge, Inc.
NPI 1639400989 · Emotionally Disturbed Childrens' Residential Treatment Facility · Roosevelt, UT
Provider details
- NPI number
- 1639400989
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Nielson, Program Director(435) 353-4498
- License
- 15263 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 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
Rr 1 Box 1477
Roosevelt, UT 84066-9735
Phone: (435) 353-4498
Fax: (435) 353-4898
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 1 Box 1477
Roosevelt, UT 84066-9735
Registry dates
- Enumerated
- 2010-01-27
- Last updated
- 2010-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.