Bob Weitzel, MD, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

187798-1205 Issued in UT

Legal business name

BOB WEITZEL, MD, PC

Practice address

78 U St
Salt Lake City, UT 84103-4304

Phone

(214) 693-2029

NPI assigned

Oct 29, 2013

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Allan Weitzel, MDNPI 1982971826

Title

Owner

Phone

(214) 693-2029

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Allan Weitzel, M.D.

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1982971826
  Authorized official Same address or phone

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1386072338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 U ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034304",
            "telephone_number": "214-693-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 U ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034304",
            "telephone_number": "214-693-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WEITZEL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-693-2029",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "187798-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Bo
• Trevor Wayne Boam
• Board of Education Salt Lake City Schools
• Rainey Boateng, LCSW
• Yaw Ababio Boateng, M.D.
• Matthew Bobel, MD
• Cari Bobo
• Kaci Bobo
• Lauren Bobo
• Yenia Enith Bobowski

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.