UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES (NPI# 1477915379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477915379 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | UNI DOWNTOWN OUTPATIENT CLINIC - CHILD |
| Practice Address |
525 E 100 S Suite 500 Salt Lake City UT 84102-4210 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | JON KAR ZUBIETA (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UNI Downtown Outpatient Clinic - Child | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558895094 | University of Utah Pediatric Behavioral Health Services | Pediatrics | 44 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 | 2017-04-11 |
| 1205378320 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-11-07 |
| 1174073746 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-10-07 |
| 1780034348 | University of Utah Pediatric Behavioral Health Services | Pediatrics | 291 S 200 W, Farmington, UT 84025-2419 | 2016-06-14 |
| 1174971691 | University of Utah Pediatric Behavioral Health Services | Pediatrics | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-05-25 |
| 1528413531 | University of Utah Pediatric Behavioral Health Services | Clinic/Center | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-27 |
| 1144684291 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-05 |
| 1033573191 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-05 |
| 1518321660 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-05 |
| 1821450735 | University of Utah Pediatric Behavioral Health Services | Clinic/Center | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2016-03-22 |
| Street Address |
525 E 100 S SUITE 500 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548239940 | Center for Human Potential Inc | Clinic/Center | 525 E 100 S, Suite 120, Salt Lake City, UT 84102-2070 | 2006-03-16 |
| 1780222141 | Parker Devitry | Social Worker | 525 E 100 S, Salt Lake City, UT 84102-4210 | 2019-12-17 |
| 1205352804 | Jessica Babbitt | Physician Assistant | 525 E 100 S, Salt Lake City, UT 84102 | 2017-08-16 |
| 1548712433 | Alissa Shiffrin | Nurse Practitioner | 525 E 100 S, 5th Floor, Salt Lake City, UT 84102-4210 | 2016-10-26 |
| 1639525439 | University of Utah Adult Behavioral Health | Psychiatry & Neurology | 525 E 100 S, Suite 500, Salt Lake City, UT 84102-4210 | 2016-05-11 |
| 1790149284 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 525 E 100 S, Suite 500, Salt Lake City, UT 84102-4210 | 2016-04-11 |
| 1568824456 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 525 E 100 S, Suite 500, Salt Lake City, UT 84102-4210 | 2016-03-22 |
| 1043611486 | Emma Mansour | Psychologist | 525 E 100 S, 102, Salt Lake City, UT 84102-4210 | 2014-09-04 |
| 1104172311 | Maricela Gamboa | Psychologist | 525 E 100 S, Suite 120, Salt Lake City, UT 84102-4210 | 2012-07-25 |
| 1043509185 | Mary Anne Fisher | Counselor | 525 E 100 S, Suite 120, Salt Lake City, UT 84102-4210 | 2011-03-29 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686252 | Bridging Resilience Counseling Services | Clinic/Center | 774 E 2100 S Ste 101, Salt Lake City, UT 84106-1863 | 2014-11-10 |
| 1457965865 | Mallory Caitlin Kidwell | Clinic/Center | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-02 |
| 1194226274 | David George Smith | Clinic/Center | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-02-23 |
| 1902288376 | James Mason Centers for Recovery | Clinic/Center | 986 W Atherton Dr Ste 270, Salt Lake City, UT 84123-6887 | 2015-06-22 |
| 1184011397 | Addiction Recovery Services | Clinic/Center | 175 S Main St, Suite 512, Salt Lake City, UT 84111-1916 | 2015-04-25 |
| 1578951588 | Working Through, Inc. | Clinic/Center | 4568 S Highland Dr, Suite 100, Salt Lake City, UT 84117-4263 | 2014-12-26 |
| 1235410812 | Katherine Wiscomb | Clinic/Center | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2011-09-08 |
| 1588891790 | Cbts | Clinic/Center | 220 E 3900 S, Suite 16, Salt Lake City, UT 84107-1556 | 2009-06-15 |
| 1194840157 | Ihc Health Services Inc | Clinic/Center | 5770 S 1500 W, Bldg C, Salt Lake City, UT 84123-5216 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478346 | Kintsugi Counseling, LLC | Clinic/Center | 150 N Main St Ste 204, Heber City, UT 84032-1671 | 2019-03-28 |
| 1265997746 | Summit Counseling Solutions | Clinic/Center | 4838 W Pillar Dr, Riverton, UT 84096-1428 | 2019-02-08 |
| 1528534401 | Bear Creek Counseling,llc | Clinic/Center | 1227 W 9000 S Ste H, West Jordan, UT 84088-9001 | 2018-10-18 |
| 1114404704 | Monuments Academy LLC | Clinic/Center | 1990 Dry Lakes Road, Brian Head, UT 84719 | 2018-07-26 |
| 1033606298 | Imperial Healing Estate | Clinic/Center | 4194 Imperial Way, Provo, UT 84604-5328 | 2018-04-13 |
| 1184133571 | Connected Life Counseling Center, LLC | Clinic/Center | 741 E 9000 S Ste 200d, Sandy, UT 84094-3085 | 2017-09-28 |
| 1790229185 | Rise Above Treatment Center | Clinic/Center | 1039 S Orem Blvd, Orem, UT 84058-6979 | 2016-12-05 |
| 1699220764 | Purple Sky Counseling, Pllc | Clinic/Center | 450 W 910 S Ste 12, Heber City, UT 84032-2447 | 2016-08-18 |
| 1164898409 | Joseph K Yau Md LLC | Clinic/Center | 2215 E High Ridge Ln, Sandy, UT 84092-4860 | 2015-08-20 |
| 1447643887 | Sundance Canyon Inc | Clinic/Center | 6948 W Dusty Rose Cir, Herriman, UT 84096-4710 | 2015-03-10 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES.
| 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.