PAUL STEVENS (NPI# 1366736886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366736886 |
| Entity Type | Individual |
| Full Name | PAUL STEVENS |
| Credential | M.D. |
| Practice Address |
650 S Komas Dr Ste 200 Salt Lake City UT 84108-1241 |
| Practice Telephone | 8015815515 |
| Practice Fax Number | 8015818979 |
| Mailing Telephone | 8015815515 |
| Mailing Fax Number | 8015818979 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
361354-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937270 | Paul Stevens | Dentist | 422 Ashton Pointe Blvd, Beaufort, SC 29906-6016 | 2014-06-17 |
| 1275892572 | Paul M Stevens | Internal Medicine | 2301 Morse St, Houston, TX 77019-6811 | 2012-05-08 |
| 1104148402 | Paul E Stevens | Pharmacist | 653 Rte 9, Saratoga Springs, NY 12866-5603 | 2010-02-28 |
| 1336201821 | Paul David Stevens | Dentist | 102 Ne State Route 92, Smithville, MO 64089-8348 | 2006-12-14 |
| 1902289002 | Paul Stevens | Surgery | 1123 Belleville Ave, Brewton, AL 36426-1505 | 2015-07-07 |
| 1548657067 | Paul R Stevens | Family Medicine | 4480 W Spencer St, Appleton, WI 54914-9106 | 2015-04-22 |
| 1376809202 | Paul Kenneth Stevens | Obstetrics & Gynecology | 801 Pole Line Rd W, Magic Valley Women's Health Clinic, Twin Falls, ID 83301-5810 | 2012-04-04 |
| 1104152933 | Paul Stevens | Social Worker | 2081 Palos Verdes Dr N, Lomita, CA 90717-3701 | 2009-10-29 |
| 1972735595 | Paul E. Stevens | Social Worker | 5700 Arlington Ave, Apt. 9 G, Bronx, NY 10471-1503 | 2009-08-15 |
| 1992914089 | Paul G Stevens | General Practice | 39 Ala Malama St., Kaunakakai, HI 96748-1100 | 2007-05-22 |
| Street Address |
650 S KOMAS DR STE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
| 1578041802 | Antoinette Elain Jones | Counselor | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2018-07-30 |
| 1598273120 | Britni Hulser | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2018-01-17 |
| 1164955274 | Daniel St. Clair | Behavior Technician | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2017-04-05 |
| 1356899967 | Kathleen Buchta | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2016-09-13 |
| 1962866095 | University of Utah Behavioral Health Services | Counselor | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2016-04-05 |
| 1083098917 | Sara Callister | Nurse Practitioner | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2015-07-09 |
| 1063893261 | Heather Davis | Behavioral Analyst | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2015-06-12 |
| 1467875245 | Sara Desiree Goode | Case Manager/Care Coordinator | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2014-01-29 |
| 1780018754 | Curtis Wilcox | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2013-08-27 |
| Find all providers in the same location | ||||
| 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 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 | 84108 |
Please comment or provide details below to improve the information on PAUL STEVENS.
| 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.