POLIZZI FOUNDATION (NPI# 1265976195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265976195 |
| Entity Type | Organization |
| Organization Name | POLIZZI FOUNDATION |
| Practice Address |
515 E 4500 S Suite G220 Salt Lake City UT 84107-4500 |
| Practice Telephone | 8015909557 |
| Practice Fax Number | 8015909957 |
| Mailing Telephone | 8015909557 |
| Mailing Fax Number | 8015905997 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | MS. LIZ KOCIOLEK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8015909557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
178852-1205 | UT | Behavioral Health & Social Service Providers |
| Street Address |
515 E 4500 S SUITE G220 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183043 | Integrated Professional Serv LLC | Clinic/Center | 515 E 4500 S, Suite G-220, Salt Lake City, UT 84107-4500 | 2006-11-22 |
| 1407149818 | Ameer Internal & Sleep Medicine Consultants | Clinic/Center | 515 E 4500 S, G220, Salt Lake City, UT 84107-4500 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578765624 | Elizabeth Hale | Psychologist | 702 E South Temple Ste B-20, Salt Lake City, UT 84102-1204 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528624756 | Alliant Behavioral Health of Utah, L.l.c | Psychologist | 225 N Adamswood Rd, Layton, UT 84040-4033 | 2019-05-13 |
| 1649618315 | Jared U Balmer | Psychologist | 9091 E 100 S, Huntsville, UT 84317-9608 | 2013-06-04 |
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on POLIZZI FOUNDATION.
| 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.