Anthony Michael Petersen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8797789-1205 Issued in UT

Practice address

6550 S Millrock Dr Ste 250
Salt Lake City, UT 84121-2331

Phone

(801) 821-2781

Fax

(801) 901-1194

NPI assigned

Apr 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Utah School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountainstar Behavioral Health LLCGroup PAC ID 1052558186, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeview Hospital Hospital, Bountiful, UT, CCN 460042

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• UT PPO

Interoperability endpoints

• Direct secure messaging: anthony.petersen@hca3.eclinicaldirectplus.com

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.

• Mountainstar Behavioral Health LLC

  • Neurology Physician
  • Bountiful, UT
  • NPI 1174868525
  Medicare reassignment Care Compare group NPD
• Serenity TMS Centers LLC

  dba Serenity Mental Health Centers

  • Psychiatry Physician
  • Lehi, UT
  • NPI 1710492095
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Corporation of Utah

  dba Lakeview Hospital

  • General Acute Care Hospital
  • Bountiful, UT
  • NPI 1528010451
  Care Compare affiliation

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1336407790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 S MILLROCK DR STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212331",
            "telephone_number": "801-821-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 S MILLROCK DR STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212331",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840104908",
            "country_code": "US",
            "telephone_number": "801-299-3781",
            "fax_number": "801-299-2416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W 200 N Ste 600",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846013016",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 N Triumph Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840436475",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2132 N Robins Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417077",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "fax_number": "801-901-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "8797789-1205",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD457218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANTHONY.PETERSEN@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "630 Medical Dr",
            "city": "Bountiful",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840104908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Peters, LCSW
• Sandra C Peters, APRN
• William Peters III
• Anna Lind Petersen, PA
• Anne Petersen, LCSW
• Brett Petersen
• Brian Lamar Petersen, LCSW
• Brittany J Petersen, LMFT, LPC, CMHC
• Byron Thad Petersen, D.D.S.
• Casey Brian Petersen, LCSW

• Psychiatry Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.