DR. BENJAMIN TODD THATCHER (NPI# 1841310950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841310950 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN TODD THATCHER |
| Credential | D.O. |
| Practice Address |
1020 S Main St #300 Salt Lake City UT 84101-3176 |
| Practice Telephone | 8015382057 |
| Practice Fax Number | 8015962515 |
| Mailing Telephone | 8015382057 |
| Mailing Fax Number | 8015962515 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
72169651204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1020 S MAIN ST #300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659355790 | James D. Ricciardi | Psychologist | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2005-12-02 |
| 1861958506 | Pamrose Sitake | Registered Nurse | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2019-02-19 |
| 1821562760 | Christopher Davis | Pharmacy Technician | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2019-01-14 |
| 1346713732 | Eric Sitta | Community Health Worker | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2019-01-08 |
| 1215405048 | Mackenzie Heather Blundell | Case Manager/Care Coordinator | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2018-11-09 |
| 1588132724 | Natalie Jeanine Williams | Community Health Worker | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2018-11-06 |
| 1609343482 | Sophia Renee Felix | Community Health Worker | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2018-10-30 |
| 1437630431 | Mark J Sanchez | Behavioral Analyst | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2018-08-27 |
| 1174004196 | Kristin Emily Olsen | Behavioral Analyst | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2018-08-27 |
| 1912488990 | Zachary Staton Tucker | Behavioral Analyst | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332353 | David L Moulton | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2006-01-30 |
| 1548244676 | Poonam Soni | Psychiatry & Neurology | 3970 S 700 E Ste 12, Salt Lake City, UT 84107-2584 | 2005-12-01 |
| 1639269269 | David A. Tomb | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558430470 | Phil Washburn | Psychiatry & Neurology | 251 W Hwy 198, Salem, UT 84653-0786 | 2006-11-07 |
| 1750989349 | Wellcon, Inc. | Psychiatry & Neurology | 3415 S 900 W, South Salt Lake, UT 84119-4103 | 2020-10-15 |
| 1780731679 | Aaron James Hunt | Psychiatry & Neurology | 1300 E Center St, Provo, UT 84606-3554 | 2007-01-04 |
| 1174546337 | Trent C. Holmberg | Psychiatry & Neurology | 12176 S 1000 E, Suite B, Draper, UT 84020-9734 | 2006-07-26 |
| 1568483030 | Joseph D Dye | Psychiatry & Neurology | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
| 1013995471 | Edward Leslie Kelly | Psychiatry & Neurology | 1300 E Center St, Provo, UT 84606-3554 | 2006-01-05 |
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on DR. BENJAMIN TODD THATCHER.
| 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.