UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES (NPI# 1952751513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952751513 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | DEPT. OF PSYCHIATRY, GIRLS TRANSITION CENTER - SOUTH MAIN CLINIC |
| Practice Address |
51 W 3900 S Salt Lake City UT 84107-1431 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | JAMES A ASHWORTH (DEPARTMENT CHAIR) |
| 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 |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dept. of Psychiatry, Girls Transition Center - South Main Clinic | 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 |
| 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 |
51 W 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467423327 | Ruth Wilson | Social Worker | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2006-01-30 |
| 1073167821 | Joshua Todd Ellsworth | Behavioral Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2019-07-30 |
| 1427515048 | Isabel Reback | Behavioral Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2019-03-01 |
| 1912489105 | Jimmie Pryor | Behavioral Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-09-04 |
| 1730661299 | Caitlin York Francis | Social Worker | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-08-31 |
| 1285114231 | Jamin Rennert | Behavior Technician | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-08-20 |
| 1235618547 | Mccall Wyn Kirby | Assistant Behavior Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-08-08 |
| 1528551553 | Kaylene Fraser | Behavior Technician | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-06-13 |
| 1982113072 | Mckenzie Rowley | Assistant Behavior Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2017-09-21 |
| 1467994038 | Catherine Cromar | Behavioral Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2016-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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| 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.