UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES


Address: 1525 W 2100 S, Salt Lake City, UT 84119-1401
Phone: 8015876336

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES (NPI# 1821450735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821450735
Entity Type Organization
Organization Name UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Other Organization Name PEDIATRIC BEHAVIORAL HEALTH OUTPATIENT SVCS - REDWOOD HEALTH CENTER
Practice Address 1525 W 2100 S
Salt Lake City
UT 84119-1401
Mailing Address Po Box 413021
Salt Lake City
UT 84141-3021
Practice Telephone 8015876336
Mailing Telephone 8012133900
Enumeration Date 2016-03-22
Last Update Date 2016-09-09
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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Pediatric Behavioral Health Outpatient Svcs - Redwood Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1871955773 University of Utah Pediatric Behavioral Health Services Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2016-03-22

Office Location

Street Address 1525 W 2100 S
City SALT LAKE CITY
State UT
Zip Code 84119-1401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285624197 Leslie Anne Gregersen Pharmacist 1525 W 2100 S, Salt Lake City, UT 84119-1401 2005-10-24
1174184758 Cara Wolf Nurse Practitioner 1525 W 2100 S, Salt Lake City, UT 84119-1407 2019-06-25
1891272845 Megan Whitlock Social Worker 1525 W 2100 S, Salt Lake City, UT 84119-1407 2018-07-23
1942718473 Kristi Leavitt Nichols Midwife 1525 W 2100 S, Salt Lake City, UT 84119-1407 2018-01-18
1639697931 Gilbert Gaertner IIi Physician Assistant 1525 W 2100 S, Salt Lake City, UT 84119-1407 2017-09-07
1528589579 Rebecca Kline Burt Family Medicine 1525 W 2100 S, Salt Lake City, UT 84119-1407 2017-06-29
1861932576 Brooke Diane Mariger Paulsen Nurse Practitioner 1525 W 2100 S, Salt Lake City, UT 84119-1407 2017-02-28
1356889703 Ghaida Al-barzinji Physician Assistant 1525 W 2100 S, Salt Lake City, UT 84119-1407 2017-02-06
1184077075 Bobbi Heaney Nurse Practitioner 1525 W 2100 S, Salt Lake City, UT 84119-1407 2016-07-15
1700234655 Caroline Berry Carlson Physician Assistant 1525 W 2100 S, Salt Lake City, UT 84119-1407 2016-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164981932 Arches Home Care, Inc. Non-emergency Medical Transport (VAN) 1385 W 2200 S Ste 203, West Valley City, UT 84119 2019-03-19
1629591003 Exemplar Healthcare, Inc. Hospice Care, Community Based 1385 W 2200 S Ste 202, West Valley City, UT 84119 2017-07-18
1619358496 Otto Bock Orthopedic Services LLC Durable Medical Equipment & Medical Supplies 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 2015-06-17
1821407735 Nathan William Stobbe Dentist 3280 W. 3500 S. Ste 3, West Valley, UT 84119 2014-08-05
1801209028 Utah Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3148 W 3500 S, West Valley City, UT 84119 2014-06-05
1215347935 Karl Edward Jennings Social Worker 3901 S David Pl, West Valley City, UT 84119 2014-05-02
1750624672 Shannon Quinn Dunlop Registered Nurse 2621 S 3270 W, West Valley City, UT 84119 2013-03-28
1215273529 Holly H Tanski Counselor 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 2012-12-14
1982955860 Oquirrh Meadows Care and Rehab, Inc Assisted Living Facility 2948 So. Redwood Road, West Valley City, UT 84119 2012-10-02
1518235068 Asjad Kaleem Mohammed Pharmacist 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 2011-12-12
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84119

Improve Information

Please comment or provide details below to improve the information on UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES.

Dataset Information

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.

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