UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES (NPI# 1780034348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780034348 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | UNI FARMINGTON BEHAVIORAL HEALTH CLINIC - CHILD SVCS |
| Practice Address |
291 S 200 W Farmington UT 84025-2419 |
| Mailing Address |
Po Box 413021 Salt Lake City UT 84141-3021 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-10-26 |
| 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 |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UNI Farmington Behavioral Health Clinic - Child Svcs | 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 |
| 1174971691 | University of Utah Pediatric Behavioral Health Services | Pediatrics | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-05-25 |
| 1528413531 | University of Utah Pediatric Behavioral Health Services | Clinic/Center | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-27 |
| 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 |
291 S 200 W |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689695173 | Derek Thomas Bowles | Social Worker | 291 S 200 W, Farmington, UT 84025-2419 | 2006-07-21 |
| 1770192106 | Sarah Theo Porter | Nurse Practitioner | 291 S 200 W, Farmington, UT 84025-2419 | 2020-07-31 |
| 1508216169 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 291 S 200 W, Farmington, UT 84025-2419 | 2016-06-14 |
| 1528480852 | Daniel Lancaster | Social Worker | 291 S 200 W, Farmington, UT 84025-2419 | 2014-01-06 |
| 1467728907 | Shawn Jeffrey Kohler | Psychiatry & Neurology | 291 S 200 W, Farmington, UT 84025-2419 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| 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 |
| 1265429906 | Sarah Lynn Winter | Pediatrics | 50 North Medical Drive, Division of General Pediatrics, Salt Lake City, UT 84312 | 2005-09-27 |
| 1578017067 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, 1, Salt Lake City, UT 84113-1103 | 2016-08-12 |
| 1174971691 | University of Utah Pediatric Behavioral Health Services | Pediatrics | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-05-25 |
| 1649631599 | University of Utah Pediatric Behavioral Health Services | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-03-18 |
| 1720220353 | Developmental Pediatrics | Pediatrics | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2009-03-27 |
| 1821188442 | Lisa J Samson-fang | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1184714784 | Winifred L Hobson | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1235227307 | Judith Ahrano Kittel | Pediatrics | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2006-10-11 |
| 1891745345 | Louis S Allen | Pediatrics | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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.