Active NPI
Paige Victoria Dubrow, PSYCHOLOGIST
- Psychologist
- Salt Lake City, UT
National Provider Identifier
1336752666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 14058412-2501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14058412-2501 | UT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Pediatric Behavioral Health Services | Current | 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
- 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.
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1740688613
-
- Developmental - Behavioral Pediatrics Physician
- Salt Lake City, UT
- NPI 1649631599
-
- Sports Medicine (Psychiatry & Neurology) Physician
- Salt Lake City, UT
- NPI 1740158955
-
- Sports Medicine (Psychiatry & Neurology) Physician
- Salt Lake City, UT
- NPI 1467320671
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.