Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magellan Academy, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1053706358

Magellan Academy, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Spanish Fork, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

704 N State Road 51
Spanish Fork, UT 84660-1385
Phone: (801) 794-0318
Fax: (801) 794-9514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X (UT)

Record details

NPI number1053706358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Wiederhold — Executive Director · (801) 794-0318
NPI enumeratedApril 2, 2015
Last updated in NPPESApril 2, 2015
Mailing address704 N State Road 51, Spanish Fork, UT 84660-1385

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