ELYSE COOLIDGE HUEY (NPI# 1265842579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265842579 |
| Entity Type | Individual |
| Full Name | ELYSE COOLIDGE HUEY |
| Other Name | ELYSE FRANCES COOLIDGE |
| Credential | M.D. |
| Practice Address |
3802 S 700 E Salt Lake City UT 84106-1182 |
| Practice Telephone | 8012646000 |
| Mailing Telephone | 8012646000 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME133092 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11320286 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
3802 S 700 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376577049 | Sean Anthony Ponce | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2006-07-10 |
| 1851880751 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2018-05-07 |
| 1487177382 | Tom Cooper | Nurse Practitioner | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2017-07-23 |
| 1689037566 | Salt Lake Behavioral Health, LLC | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2016-03-30 |
| 1194129981 | Eric Benson | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-10-22 |
| 1811317373 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-04-23 |
| 1013335827 | Daniel Inouye | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-03-31 |
| 1053666883 | Salt Lake Behavioral Health | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2012-07-18 |
| 1881764835 | Bradley D Workman | Nurse Practitioner | 3802 S 700 E, Salt Lake City, UT 84106 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| 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 | 84106 |
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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.