Art City Psychiatry PLLC

Organization Active NPI Physician Assistant · South Salt Lake, UT

NPI 1225839152 · NPPES record last updated Dec 29, 2025

Key facts

NPI
1225839152
Entity type
Organization (NPI type 2)
Primary specialty
Physician Assistant 363A00000X
Legal business name
ART CITY PSYCHIATRY PLLC
Practice address
2880 S Main St Suite 108
South Salt Lake, UT 84115
Phone
(801) 792-9579
NPI assigned
Mar 24, 2025
Organization subpart
No

Authorized official

Name
Faustin Chad Vigil, PA-C NPI 1821502469
Title
Owner
Phone
(801) 792-9579

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260121003073 UT Part B Supplier - Clinic/Group Practice 5395222301 Receives reassigned benefits from 1 practitioner
Practice locations: South Salt Lake, UT

National Provider Directory

Locations

2880 S Main St
Ste 108
South Salt Lake, UT 84115
Phone (240) 356-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363A00000X Yes

Addresses

Primary practice location

2880 S Main St Suite 108
South Salt Lake, UT 84115

Mailing address

9681 S Cindy CT
South Jordan, UT 84009-1540
Phone (801) 792-9579

Other providers in South Salt Lake, UT

All providers in South Salt Lake, UT · Physician Assistant in Utah

Sources for this page

Verify at the official NPI Registry.