Organization Active NPI

Jann Dewitt Inc.

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1124327788
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
308921-2501 Issued in UT
Legal business name
JANN DEWITT INC.
Practice address
1104 Ashton Ave
Suite 108
Salt Lake City, UT 84106-4504
Phone
(801) 510-4547
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Jann Dewitt, PHD
Title
Owner
Phone
(801) 510-4547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 308921-2501 UT Primary

Addresses

Primary practice location

1104 Ashton Ave
Suite 108
Salt Lake City, UT 84106-4504

Mailing address

555 E 4500 S
Suite C150
Salt Lake City, UT 84107-4533
Phone (801) 288-0747

National Provider Directory

National Provider Directory

Locations

1104 E Ashton Ave
Ste 108
Salt Lake City, UT 84106
Phone (801) 510-4547

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1124327788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 4500 S",
            "address_2": "SUITE C150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074533",
            "telephone_number": "801-288-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ASHTON AVE",
            "address_2": "SUITE 108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064504",
            "telephone_number": "801-510-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANN DEWITT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-510-4547",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "308921-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.