UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES


Address: 501 S Chipeta Way, Salt Lake City, UT 84108-1222
Phone: 8015876336

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES (NPI# 1518321660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518321660
Entity Type Organization
Organization Name UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Other Organization Name NEUROSTIMULATION CLINIC - PEDIATRIC BEHAVIORAL HEALTH OUTPATIENT SVCS
Practice Address 501 S Chipeta Way
Salt Lake City
UT 84108-1222
Mailing Address Po Box 413021
Salt Lake City
UT 84141-3021
Practice Telephone 8015876336
Mailing Telephone 8012133900
Enumeration Date 2016-04-05
Last Update Date 2016-04-05
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Neurostimulation Clinic - Pediatric Behavioral Health Outpatient Svcs Doing Business As Name - Organization

Other Provider IDs and Locations

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
1821450735 University of Utah Pediatric Behavioral Health Services Clinic/Center 1525 W 2100 S, Salt Lake City, UT 84119-1401 2016-03-22
1871955773 University of Utah Pediatric Behavioral Health Services Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2016-03-22

Office Location

Street Address 501 S CHIPETA WAY
City SALT LAKE CITY
State UT
Zip Code 84108-1222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558332353 David L Moulton Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2006-01-30
1639798853 Jade Burrell Music Therapist 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-04-09
1104455724 Matthew Torbenson Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-04-06
1699304147 William Alexander Bennion Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-04-06
1104455872 Taylor Crosby Blanding Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-04-05
1730718875 Harjit Kaur Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-04-01
1235767369 Zachary H Schwartz Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-04-01
1336777937 Giselle Mcintyre Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-03-30
1578191144 Margaux Barbara Miller Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-03-30
1679101539 Caitlin Marie Clark Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134643596 Ladders Psychiatry & Neurology 1399 S 700 E Ste 10, Salt Lake City, UT 84105-2167 2017-07-27
1487779955 Rachel Anne Weir Psychiatry & Neurology 650 Komas Dr Ste 208, Salt Lake City, UT 84108-1241 2007-03-20
1437297272 Traci L. David Psychiatry & Neurology 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 2007-02-02
1942268446 Melissa P Lopez-larson Psychiatry & Neurology 383 S Colorow Dr, University of Utah, Salt Lake City, UT 84108-1201 2006-05-03
1598736217 Beth Ann Gasparo Psychiatry & Neurology 1850 S 2500 E, Salt Lake City, UT 84108-3242 2006-01-30
1366963381 Spencer Augustin Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2017-06-29
1396277125 Ryan Cephas Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2017-03-30
1316478290 Jeffrey Pedersen Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2017-03-23
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
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84108

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Dataset Information

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.

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