UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES (NPI# 1528413531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528413531 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | NEUROSTIMULATION CLINIC - PEDIATRIC OUT REACH |
| 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 | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Neurostimulation Clinic - Pediatric Out Reach | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1518321660 | 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 |
| Street Address |
501 S CHIPETA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1222 |
| 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 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686252 | Bridging Resilience Counseling Services | Clinic/Center | 774 E 2100 S Ste 101, Salt Lake City, UT 84106-1863 | 2014-11-10 |
| 1457965865 | Mallory Caitlin Kidwell | Clinic/Center | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-02 |
| 1194226274 | David George Smith | Clinic/Center | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-02-23 |
| 1902288376 | James Mason Centers for Recovery | Clinic/Center | 986 W Atherton Dr Ste 270, Salt Lake City, UT 84123-6887 | 2015-06-22 |
| 1184011397 | Addiction Recovery Services | Clinic/Center | 175 S Main St, Suite 512, Salt Lake City, UT 84111-1916 | 2015-04-25 |
| 1578951588 | Working Through, Inc. | Clinic/Center | 4568 S Highland Dr, Suite 100, Salt Lake City, UT 84117-4263 | 2014-12-26 |
| 1235410812 | Katherine Wiscomb | Clinic/Center | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2011-09-08 |
| 1588891790 | Cbts | Clinic/Center | 220 E 3900 S, Suite 16, Salt Lake City, UT 84107-1556 | 2009-06-15 |
| 1194840157 | Ihc Health Services Inc | Clinic/Center | 5770 S 1500 W, Bldg C, Salt Lake City, UT 84123-5216 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478346 | Kintsugi Counseling, LLC | Clinic/Center | 150 N Main St Ste 204, Heber City, UT 84032-1671 | 2019-03-28 |
| 1265997746 | Summit Counseling Solutions | Clinic/Center | 4838 W Pillar Dr, Riverton, UT 84096-1428 | 2019-02-08 |
| 1528534401 | Bear Creek Counseling,llc | Clinic/Center | 1227 W 9000 S Ste H, West Jordan, UT 84088-9001 | 2018-10-18 |
| 1114404704 | Monuments Academy LLC | Clinic/Center | 1990 Dry Lakes Road, Brian Head, UT 84719 | 2018-07-26 |
| 1033606298 | Imperial Healing Estate | Clinic/Center | 4194 Imperial Way, Provo, UT 84604-5328 | 2018-04-13 |
| 1184133571 | Connected Life Counseling Center, LLC | Clinic/Center | 741 E 9000 S Ste 200d, Sandy, UT 84094-3085 | 2017-09-28 |
| 1790229185 | Rise Above Treatment Center | Clinic/Center | 1039 S Orem Blvd, Orem, UT 84058-6979 | 2016-12-05 |
| 1699220764 | Purple Sky Counseling, Pllc | Clinic/Center | 450 W 910 S Ste 12, Heber City, UT 84032-2447 | 2016-08-18 |
| 1164898409 | Joseph K Yau Md LLC | Clinic/Center | 2215 E High Ridge Ln, Sandy, UT 84092-4860 | 2015-08-20 |
| 1447643887 | Sundance Canyon Inc | Clinic/Center | 6948 W Dusty Rose Cir, Herriman, UT 84096-4710 | 2015-03-10 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES.
| 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.