UNIVERSITY OF UTAH (NPI# 1194070276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194070276 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH |
| Other Organization Name | ASSESSMENT & REFERRAL SERVICES |
| Practice Address |
450 S 900 E Suite 300 Salt Lake City UT 84102-2981 |
| Mailing Address |
450 S 900 E Suite 300 Salt Lake City UT 84102-3608 |
| Practice Telephone | 8015321850 |
| Practice Fax Number | 8015323608 |
| Mailing Telephone | 8015321850 |
| Mailing Fax Number | 8015323608 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | DR. KELLY LUNDBERG (DIRECTOR) |
| Authorized Official Telephone | 8015347905 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
UT | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Assessment & Referral Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1790147833 | University of Utah | Pharmacy | 6056 S Fashion Square Dr Ste 1000, Suite 1000, Murray, UT 84107-5410 | 2016-03-28 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1104115476 | University of Utah | General Acute Care Hospital | 470 N Harbor Dr Nw, Atlanta, GA 30328-2751 | 2011-04-07 |
| 1275838575 | University of Utah | Pharmacy | 4696 Daybreak Rim Way, South Jordan, UT 84095-5129 | 2011-01-18 |
| 1518011584 | University of Utah | General Acute Care Hospital | 03730 W 4700 S, West Valley, UT 84108 | 2007-01-23 |
| 1023107612 | University of Utah | Pharmacy | 145 W 1300 S, Orem, UT 84058-7316 | 2006-10-12 |
| 1932298528 | University of Utah | Pharmacy | 555 S Foothill Blvd, Suite 396, Salt Lake City, UT 84112-1106 | 2006-10-12 |
| 1295824886 | University of Utah | Pharmacy | 65 S Mario Capecchi Dr, Suite 2430, Salt Lake City, UT 84132-0005 | 2006-10-12 |
| 1306883954 | University of Utah | Durable Medical Equipment & Medical Supplies | 6056 S Fashion Square Dr, Suite 1100, Murray, UT 84107-7355 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | University of Utah Health Plans | 6053 Fashion Square Drive, Suite 110, Murray, UT 84107 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 North Medical Dr, Salt Lake City, UT 84132-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH, THE | 201 Presidents Cir, Salt Lake City, UT 84112-9049 |
| Street Address |
450 S 900 E SUITE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306899265 | Home Caregivers Partnership, LLC | Home Health | 450 S 900 E, Suite 100, Salt Lake City, UT 84102-2983 | 2006-05-19 |
| 1376169144 | Scott Duane Foster | Nurse Practitioner | 450 S 900 E, Salt Lake City, UT 84102-2981 | 2020-06-17 |
| 1518442888 | Karina Michele Hayden | Social Worker | 450 S 900 E, Salt Lake City, UT 84102-2981 | 2018-10-02 |
| 1326586090 | Mccall Izatt | Social Worker | 450 S 900 E, Salt Lake City, UT 84102-2981 | 2017-02-02 |
| 1285002642 | Assessment & Referral Services | Social Worker | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2015-09-02 |
| 1790180008 | Brandice Sonderegger | Social Worker | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2014-10-29 |
| 1962802116 | Audrey South | Social Worker | 450 S 900 E, Ste 300, Salt Lake City, UT 84102-2981 | 2014-08-25 |
| 1609145705 | Jessica Lynn Palmer | Social Worker | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2011-12-19 |
| 1790082824 | Aubrey Atkinson | Social Worker | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2011-02-25 |
| 1376849745 | Meisha Carol Jensen | Social Worker | 450 S 900 E, 300, Salt Lake City, UT 84102-2981 | 2011-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899009 | Silver Peak Medical LLC | Psychologist | 1817 S Main St Ste 8, Salt Lake City, UT 84115-7060 | 2016-01-25 |
| 1346670221 | Sadie Alexandra Young | Psychologist | 344 East 100 South, Ste 301, Salt Lake City, UT 84111 | 2013-11-14 |
| 1912048323 | Robert J Courtney Jr. | Psychologist | 30 N 1900 E, 1r52 Som, Salt Lake City, UT 84132-2119 | 2007-02-09 |
| 1881735298 | Anne Moore | Psychologist | 30 N 1900 E, 1r52 Som, Salt Lake City, UT 84132-2119 | 2007-02-09 |
| 1245371699 | U-u Alcohol & Drug Clinic School of Medicine | Psychologist | 30 N 1900 E, 1r52 Som, Salt Lake City, UT 84132-2119 | 2007-02-09 |
| 1053452672 | Martina Rich | Psychologist | 30 N 1900 E, 1r52 Som, Salt Lake City, UT 84132-2119 | 2007-02-08 |
| 1336164573 | Stephen Thomas Tiffany | Psychologist | 500 Foothill Blvd, Bldg 3, Rm Gc18b, Salt Lake City, UT 84148-0001 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151033 | Casadee Yvonne Hudson | Psychologist | 2600 N Main St Ste 200, North Logan, UT 84341-1510 | 2019-08-30 |
| 1962054775 | Kenneth Newell | Psychologist | 640 S 1200 W, Orem, UT 84058-5972 | 2019-07-11 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1003323767 | Pure Life Ptg | Psychologist | 7390 S Creek Rd Ste 202, Sandy, UT 84093-6123 | 2018-01-03 |
| 1508211285 | Andrea Lindsay-shaffer | Psychologist | 1630 E Edgecliff Dr, Sandy, UT 84092-4309 | 2016-04-29 |
| 1770502379 | Mark D. Worthen | Psychologist | 1182 Center Dr Ste D160, Park City, UT 84098-1287 | 2006-07-18 |
| 1134586654 | Randy K Moss | Psychologist | 447 N 300 W, Kaysville, UT 84037-4203 | 2016-01-28 |
| 1417321803 | Brighton Medical Group | Psychologist | 1275 E Fort Union Blvd, Suite 202, Cottonwood Heights, UT 84047-1895 | 2015-11-23 |
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.