Individual provider Active NPI

Paige Victoria Dubrow, PSYCHOLOGIST

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1336752666
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
14058412-2501 Issued in UT
Practice address
240 Morris Ave Ste 400
Salt Lake City, UT 84115-3295
Phone
(801) 587-8020
Fax
(802) 585-5723
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 14058412-2501 UT Primary

Addresses

Primary practice location

240 Morris Ave Ste 400
Salt Lake City, UT 84115-3295

Mailing address

240 Morris Ave
Salt Lake City, UT 84115-3277
Phone (801) 587-8020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdubrow707129@direct.med.utah.edu Direct University of Utah

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030003958 UT Practitioner - Clinical Psychologist 1254820095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 299
Salt Lake City, UT 84110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14058412-2501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Behavioral Health Services CurrentSince Sep 10, 2025 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Sep 10, 2025 Accepting new patients
University of Utah Pediatric Behavioral Health Services CurrentSince Sep 10, 2025 Accepting new patients
University of Utah Pediatric Behavioral Health Services CurrentSince Sep 10, 2025 Accepting new patients

Locations

501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

240 Morris Ave
Ste 400
South Salt Lake, UT 84115
Phone (801) 581-5515

Interoperability endpoints

  • Direct secure messaging: pdubrow707129@direct.med.utah.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1336752666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MORRIS AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153277",
            "telephone_number": "801-587-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MORRIS AVE STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153295",
            "telephone_number": "801-587-8020",
            "fax_number": "802-585-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBROW",
        "first_name": "PAIGE",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "14058412-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdubrow707129@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.