DR. JAMAL S HEJAZI (NPI# 1558332437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558332437 |
| Entity Type | Individual |
| Full Name | DR. JAMAL S HEJAZI |
| Credential | MD |
| Practice Address |
1141 E 3900 S Salt Lake City UT 84124-1250 |
| Mailing Address |
1141 E 3900 S Ste A170 Salt Lake City UT 84124-1250 |
| Practice Telephone | 8012844990 |
| Practice Fax Number | 8012844991 |
| Mailing Telephone | 8012844990 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A49714 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7608 | NV | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
992637831205 | UT | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A49714 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
7608 | NV | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
9926378312 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DESERET MUTUAL | 263060 | 01 |
| UT | EDUCATORS MUTUAL | 942938348HE2 | 01 |
| UT | INTRMTN HEALTH CARE | 107007645101 | 01 |
| Street Address |
1141 E 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734989 | Megan Curtice | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2019-01-30 |
| 1730653510 | Raylina Perez | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2019-01-15 |
| 1215429329 | Sydney Dahmen | Spec/Tech, Health Info | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-06-04 |
| 1952898165 | Katie Rose Mcmahon | Counselor | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-04-13 |
| 1831692052 | Lillian Olivia Rodriguez | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-03-14 |
| 1346740503 | Melyssa L Perkes | Social Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-02-14 |
| 1952770844 | Kira K Pedroza | Social Worker | 1141 E 3900 S, Suite 170, Salt Lake City, UT 84124-1215 | 2015-09-21 |
| 1043563836 | Jared Andes | Social Worker | 1141 E 3900 S, Ste A170, Salt Lake City, UT 84124-1215 | 2012-10-18 |
| 1497044168 | Laura Joy Haber | Social Worker | 1141 E 3900 S, Suite A170, Salt Lake City, UT 84124-1215 | 2011-04-04 |
| 1851628234 | Pathology Associates Medical Laboratories, LLC | Clinical Medical Laboratory | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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] |
| 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 | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.