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

White River Academy

Organization Clinical Child & Adolescent Psychologist · NPI 1306186234

White River Academy is a Clinical Child & Adolescent Psychologist in Delta, Utah. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5

Practice location Address checks out

275 W 100 S
Delta, UT 84624-9238
Phone: (435) 659-2368
Fax: (435) 213-2810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1306186234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Nielson — Program Director · (435) 659-2368
NPI enumeratedMarch 1, 2013
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address275 W 100 S, Delta, UT 84624-9238