DR. BENJAMIN CONNELL SALAZAR (NPI# 1508019522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508019522 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN CONNELL SALAZAR |
| Credential | PH.D. |
| Practice Address |
1500 Wsc Brigham Young University Provo UT 84602-7924 |
| Practice Telephone | 7204257373 |
| Mailing Telephone | 7204257373 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
8788493-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926097 | Benjamin Salazar | Registered Nurse | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2019-01-16 |
| 1366798365 | Benjamin Salazar | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2012-07-27 |
| 1548567589 | Benjamin Salazar | Counselor | 1500 N Verdugo Rd, Hs 337, Glendale, CA 91208-2809 | 2011-02-25 |
| Street Address |
1500 WSC BRIGHAM YOUNG UNIVERSITY |
| City | PROVO |
| State | UT |
| Zip Code | 84602-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922101849 | Richard Allen Moody | Psychologist | 1500 Wsc, Counseling and Career Center - Byu, Provo, UT 84602-7906 | 2006-09-06 |
| 1588104210 | Jared Klundt | Psychologist | 1500 Wsc, Provo, UT 84602-7924 | 2017-02-28 |
| 1356685408 | Michael S Buxton | Marriage & Family Therapist | 1500 Wsc, Byu, Provo, UT 84602-7924 | 2012-11-15 |
| 1518260280 | Tyler R. Pedersen | Psychologist | 1500 Wsc, Provo, UT 84602 | 2010-12-17 |
| 1336449081 | Lisa Michelle Leavitt | Psychologist | 1500 Wsc, Brigham Young University, Provo, UT 84602 | 2010-10-28 |
| 1457415432 | M Kirk Dougher | Psychologist | 1500 Wsc, Provo, UT 84602 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1578113510 | Phillip Dale Rash | Psychologist | 1424 W 430 S, Provo, UT 84601-3986 | 2019-09-11 |
| 1760929707 | Melissa Kay Jones | Psychologist | 4132 Timpview Dr, Provo, UT 84604-5128 | 2017-01-29 |
| 1730430257 | Jessica Flynn | Psychologist | 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 | 2012-09-24 |
| 1144594003 | I Promise Foundation | Psychologist | 3521 N University Ave, Suite 225, Provo, UT 84604-4418 | 2012-02-23 |
| 1881730604 | Jennifer Anne Morrill | Psychologist | 3549 N University Ave Ste 200, Provo, UT 84604 | 2007-01-29 |
| 1457444077 | Royace Ann Shively | Psychologist | 1571 Wsc, Brigham Young University, Provo, UT 84602 | 2006-10-02 |
| 1194294090 | Laura H Dixon | Psychologist | 1190 North 900 East, Provo, UT 84604 | 2018-11-20 |
| 1528215274 | Kenneth C. Tuttle | Psychologist | 1034 N 500 W, Provo, UT 84604-3380 | 2008-08-25 |
| 1861611865 | Scott Edward Mccauley | Psychologist | 1190 N 900 E, Provo, UT 84604-3536 | 2007-04-25 |
| Find all providers in PROVO | ||||
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| 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.