UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES (NPI# 1629476502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629476502 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | PAIN MANAGEMENT MENTAL HEALTH |
| Practice Address |
50 N Medical Dr Salt Lake City UT 84132-0001 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015812121 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | SEAN MULVIHILL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pain Management Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376947051 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 30 N 1900 E Ste 1b620, Salt Lake City, UT 84132-0002 | 2014-10-09 |
| 1699382986 | University of Utah Behavioral Health Services | Social Worker | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-09-30 |
| 1639701188 | University of Utah Behavioral Health Services | Nurse Practitioner | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-02-12 |
| 1093265654 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-10-07 |
| 1508216169 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 291 S 200 W, Farmington, UT 84025-2419 | 2016-06-14 |
| 1952751513 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2016-06-14 |
| 1790149284 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 525 E 100 S, Suite 500, Salt Lake City, UT 84102-4210 | 2016-04-11 |
| 1962866095 | University of Utah Behavioral Health Services | Counselor | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2016-04-05 |
| 1225492358 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-05 |
| 1679937700 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-04-05 |
| Street Address |
50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1073114864 | Stephanie Bevill | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-06 |
| 1609477801 | Justin Larson | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-04 |
| 1366042467 | Kirsty Aleah Vannoy | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-28 |
| 1629675673 | Erica Kueneman | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-02 |
| 1487266680 | Michelle A Barker | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1770195943 | Lisa M Schaeffer | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1194336289 | Michelle Rios | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1932710027 | Tanner Ladsten | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1578174660 | Rachel Sette | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891054771 | Lynx Medical Services Organization | Pain Medicine | 777 E 2100 S, Salt Lake City, UT 84106-1829 | 2012-05-11 |
| 1891793147 | Thomas K Trauba | Pain Medicine | 3838 S 700 E, Salt Lake City, UT 84106-1496 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342414 | Interventional Spine & Pain Management | Pain Medicine | 1276 Wall Ave Ste 2, Ogden, UT 84404-5673 | 2019-12-03 |
| 1487999488 | Bryan Hainsworth | Pain Medicine | 2850 N 2000 W # 203, Farr West, UT 84404-9219 | 2012-12-01 |
| 1801131156 | Wasatch Pain and Hormone | Pain Medicine | 1513 N Hill Field Rd, Suite 5, Layton, UT 84041-2162 | 2012-11-27 |
| 1295028603 | Spero Pain Relief Therapy, LLC | Pain Medicine | 249 E Tabernacle St Ste 301, Saint George, UT 84770-2995 | 2011-05-17 |
| 1811220304 | Advanced Pain Management, LLC | Pain Medicine | 620 S 400 E Ste 201, St George, UT 84770-7060 | 2009-09-15 |
| 1043299357 | Scott Werner | Pain Medicine | 2850 N 2000 W Ste 203, Farr West, UT 84404 | 2006-01-13 |
| 1073512745 | Richard M Rosenthal | Pain Medicine | 3585 N University Ave Ste 150, Provo, UT 84604-6630 | 2005-07-15 |
| 1851399141 | Mark M Passey | Pain Medicine | 5810 S 300 E, #300, Murray, UT 84107 | 2005-07-11 |
| 1336637263 | Summit Medical Pain & Spine | Pain Medicine | 4465 S 900 E Ste 275, Millcreek, UT 84124-2644 | 2018-04-26 |
| 1912435744 | Ihc Health Services Inc | Pain Medicine | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-05-24 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH 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.