Salt Lake Behavioral Health LLC
A Medicare group practice based in Salt Lake City, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709915473), with 33 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6709915473
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- UT
- Enrollments
- 2
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100915000764 | UT | Part A Provider - Hospital | 1295066116 |
| O20120315000189 | UT | Part B Supplier - Clinic/Group Practice | 1295066116 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Salt Lake Behavioral Health, LLC
dba Salt Lake Behavioral Health
- Psychiatric Hospital
- Salt Lake City, UT
- NPI 1295066116
-
Salt Lake Behavioral Health, LLC
- Addiction Medicine (Family Medicine) Physician
- Salt Lake City, UT
- NPI 1689037566
Practice locations
- Salt Lake City, UT2
Clinicians 33
Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (7).
-
Amie Jo Aslami, M.D.
- Psychiatry Physician
- Midvale, UT
- NPI 1083685796
-
Taylor C. Blanding, MD
- Child & Adolescent Psychiatry Physician
- Salt Lake City, UT
- NPI 1104455872
-
Dustin M. Blodgett, MD
- Child & Adolescent Psychiatry Physician
- Salt Lake City, UT
- NPI 1700346525
-
Brian R. Bradford, DO
- Psychiatry Physician
- Nashville, TN
- NPI 1326542606
-
Charles Olin Canfield, M.D.
- Addiction Medicine (Family Medicine) Physician
- South Jordan, UT
- NPI 1023199825
-
Krista Nicole Cook, PA
- Physician Assistant
- Salt Lake City, UT
- NPI 1326533480
-
Tom Cooper, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
- NPI 1487177382
-
Heather Marie Dangerfield, DNP, PMHNP
- Nurse Practitioner
- Sandy, UT
- NPI 1124504915
-
France A Davis II, PA-C
- Physician Assistant
- Salt Lake City, UT
- NPI 1295995694
-
Spencer Christian Debry, M.D.
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1194797738
-
Kristen M. Durbin, MD
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1639631740
-
Sajid Faizi, M.D
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1659386357
-
Emma Fong, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
- NPI 1003635004
-
Rachel Goldman, PA
- Physician Assistant
- Salt Lake City, UT
- NPI 1548884851
-
Michael Richard Harrigan, M.D.
- Psychiatry Physician
- Paramus, NJ
- NPI 1104207687
-
Rebecca Husain
- Psychiatric/Mental Health Registered Nurse
- Holladay, UT
- NPI 1528880879
-
Tanner Hutchins
- Primary Care Nurse Practitioner
- Salt Lake City, UT
- NPI 1538819107
-
Seth Ryan Knight, M.D.
- Psychiatry Physician
- Ann Arbor, MI
- NPI 1316232473
-
James Michael Marcum, MD
- Psychiatry Physician
- Springville, UT
- NPI 1013938588
-
Jamie Catherine Mathews, MSN, RN, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Layton, UT
- NPI 1710318738
-
Bozena Beata Montes, AGNP, ACNP
- Nurse Practitioner
- Salt Lake City, UT
- NPI 1558778902
-
Brian Christopher Nyberg, M.D.
- Psychiatry Physician
- Cedar City, UT
- NPI 1689968844
-
Kyle Olson, NP
- Nurse Practitioner
- Layton, UT
- NPI 1912435421
-
Adam Phillip Pendleton, M.D.
- Psychiatry Physician
- Holladay, UT
- NPI 1013350982
-
Matthew Pierce, PA-C
- Physician Assistant
- Midvale, UT
- NPI 1588216824
-
Jean Stanford, PA-C
- Medical Physician Assistant
- Orem, UT
- NPI 1710037213
-
Spencer Kyle Steadman, MD
- Child & Adolescent Psychiatry Physician
- Salt Lake City, UT
- NPI 1225779465
-
Eric Stedman, D.O.
- Child & Adolescent Psychiatry Physician
- Salt Lake City, UT
- NPI 1144431107
-
Ligia J Taylor, NURSE PRACTITIONER
- Nurse Practitioner
- Fort Leavenworth, KS
- NPI 1013174317
-
Joanna Tomaszewski, MD
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1932677523
-
Amy Gallop Weagley, MD
- Child & Adolescent Psychiatry Physician
- Salt Lake City, UT
- NPI 1033678917
-
Bradley D Workman, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
- NPI 1881764835
-
Caleb Wright
- Psychiatric/Mental Health Registered Nurse
- Medford, OR
- NPI 1164949970
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.