Active NPI
Taylor C. Blanding, MD
- Child & Adolescent Psychiatry Physician
- Salt Lake City, UT
National Provider Identifier
1104455872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 12499107-1205
- Practice address
- 650 S Komas Dr Ste 208
Salt Lake City, UT 84108-1241 - Phone
- (801) 587-3543
- NPI assigned
- Apr 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 12499107-1205 | UT | Primary |
| Psychiatry Physician | 2084P0800X | 12499107-1205 | UT | |
| Pediatrics Physician | 208000000X | 12499107-1205 | UT |
Addresses
Primary practice location
650 S Komas Dr Ste 208
Salt Lake City, UT 84108-1241
Mailing address
650 S Komas Dr Ste 208
Salt Lake City, UT 84108-1241
Phone (801) 587-3543
Other practice location 1
5770 S 1500 W
Salt Lake City, UT 84123-5216
Phone (801) 265-3412
Other names 1
- Taylor M. Crosby
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salt Lake Behavioral Health, LLC | Current | Accepting new patients | |
| Salt Lake Behavioral Health, LLC | Current | Accepting new patients |
Locations
3802 S 700 E
South Salt Lake, UT 84106
Phone (801) 264-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Salt Lake City, UT
- NPI 1295066116
-
- Addiction Medicine (Family Medicine) Physician
- Salt Lake City, UT
- NPI 1689037566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1104455872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S KOMAS DR STE 208",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081241",
"telephone_number": "801-587-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S KOMAS DR STE 208",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081241",
"telephone_number": "801-587-3543"
}
],
"practiceLocations": [
{
"address_1": "5770 S 1500 W",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841235216",
"country_code": "US",
"telephone_number": "801-265-3412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANDING",
"first_name": "TAYLOR",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-05",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "UT",
"license": "12499107-1205",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "12499107-1205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "12499107-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "CROSBY",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.