UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES (NPI# 1639701188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639701188 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1950 Circle of Hope Dr Salt Lake City UT 84112-5500 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015850100 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | JAMES ASHWORTH (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 | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Palliative Care Services | 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 |
| 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 |
| 1205290343 | University of Utah Behavioral Health Services | Psychologist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-04-05 |
| Street Address |
1950 CIRCLE OF HOPE DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092147 | Sean Patrick Strope | Physician Assistant | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2005-09-02 |
| 1225639966 | Steven John Caverley | Social Worker | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-11-07 |
| 1639785058 | Kelly Fritz | Pharmacist | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-09-21 |
| 1457960015 | Nichole Rose Robinson | Social Worker | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-07-29 |
| 1194340448 | Nicholas Maurice Cheek-o'donnell | Social Worker | 1950 Circle of Hope Dr, Bmt Clinic, Salt Lake City, UT 84112 | 2020-06-12 |
| 1992345730 | Jamie Paula Wadsworth | Speech-Language Pathologist | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-01-09 |
| 1609420983 | Kristen Pauley | Genetic Counselor, MS | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2019-07-25 |
| 1417428582 | Grace Blissell | Nurse Practitioner | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2018-12-16 |
| 1841768710 | Paige Harasha | Physician Assistant | 1950 Circle of Hope Dr, Department of Hematology, Salt Lake City, UT 84112-5500 | 2018-11-08 |
| 1073088969 | Adam Cody Christiansen | Physician Assistant | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1720433196 | Lillian Farris | Nurse Practitioner | 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 | 2016-05-04 |
| 1164816922 | Brittany Talbot | Nurse Practitioner | Salt Lake City Vamc, 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2015-03-19 |
| 1376959023 | Charleen Angell Aprn, Pllc | Nurse Practitioner | 145 S 400 E, Salt Lake City, UT 84111-2104 | 2014-07-02 |
| 1619390218 | Darin Ashton Principe | Nurse Practitioner | 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 | 2014-02-03 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1124237011 | Maria Christina Paegle | Nurse Practitioner | 4659 Brookwood Dr, Salt Lake City, UT 84117-4909 | 2007-05-21 |
| 1558430389 | Grace Forsythe Phd Inc | Nurse Practitioner | 2046 Murray Holladay Rd, 103, Salt Lake City, UT 84117-5125 | 2006-11-07 |
| 1639279466 | Joann M Rolando | Nurse Practitioner | George E Wahlen Department of Veterans Affairs, Medical Center Va, Salt Lake City, UT 84148-0001 | 2006-09-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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.