UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES (NPI# 1962866095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962866095 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | NEUROBEHAVIOR HOME PROGRAM |
| Practice Address |
650 S Komas Dr Ste 200 Salt Lake City UT 84108-1241 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2020-05-21 |
| 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 BEHAVIORAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Neurobehavior Home Program | 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 |
| 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 |
650 S KOMAS DR STE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
| 1578041802 | Antoinette Elain Jones | Counselor | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2018-07-30 |
| 1598273120 | Britni Hulser | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2018-01-17 |
| 1164955274 | Daniel St. Clair | Behavior Technician | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2017-04-05 |
| 1356899967 | Kathleen Buchta | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2016-09-13 |
| 1083098917 | Sara Callister | Nurse Practitioner | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2015-07-09 |
| 1063893261 | Heather Davis | Behavioral Analyst | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2015-06-12 |
| 1467875245 | Sara Desiree Goode | Case Manager/Care Coordinator | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2014-01-29 |
| 1780018754 | Curtis Wilcox | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2013-08-27 |
| 1083051890 | Matthew Eric Christensen | Social Worker | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1689292658 | Truu Management | Counselor | 1554 S State St, Salt Lake City, UT 84115-1632 | 2020-07-07 |
| 1275169823 | Ashley White | Counselor | 1190 S 300 E, Salt Lake City, UT 84111-4636 | 2020-03-16 |
| 1184257107 | Richard Gregg Buxton | Counselor | 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 | 2020-02-18 |
| 1609416254 | Rmc Counseling | Counselor | 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 | 2020-01-12 |
| 1114563681 | Caroline Graham | Counselor | 131 E 700 S, Salt Lake City, UT 84111-3805 | 2019-11-20 |
| 1629622303 | Healing Feathers LLC | Counselor | 1174 E Graystone Way Ste 10, Salt Lake City, UT 84106-2671 | 2019-07-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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.