Individual provider Active NPI

Joseph Andrew Reistetter, MD

  • Psychiatry Physician
  • Salt Lake City, UT
National Provider Identifier
1407280415
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10964123-1205 Issued in UT
Practice address
6550 S Millrock Dr Ste 250
Salt Lake City, UT 84121-2331
Phone
(801) 821-2333
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10964123-1205 UT Primary

Addresses

Primary practice location

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

Mailing address

3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Phone (801) 821-2333

Other practice location 1

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone (801) 581-2121

Other practice location 2

2132 N Robins Dr Ste 300
Layton, UT 84041-7077
Phone (801) 781-5092

Other practice location 3

145 W 200 N Ste 600
Provo, UT 84601-3016
Phone (801) 675-4501

Other practice location 4

3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Phone (801) 821-2333

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106000575 UT Practitioner - Psychiatry 3476806977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Mind LLCGroup PAC ID 6406228220, 15 clinicians

Practice addresses (Care Compare)

1221 S Valley Grove Way
Suite 160
Pleasant Grove, UT 84062-6758
Phone (801) 477-7189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10964123-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC Psychiatry CurrentSince Mar 11, 2025 Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince May 17, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince May 17, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

2132 N Robins Dr
Ste 300
Layton, UT 84041
Phone (801) 781-5092

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

145 W 200 N
Ste 600
Provo, UT 84601
Phone (801) 675-4501

6550 S Millrock Dr
Ste 250
Salt Lake City, UT 84121
Phone (801) 754-6032

324 Tenth Ave
Ste 178
Slc, UT 84103
Phone (801) 321-2500

Organizations & group practices 5

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1407280415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 500",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436475",
            "telephone_number": "801-821-2333"
        },
        {
            "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": "801-821-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Chipeta Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081222",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "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": "801-781-5092",
            "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": "801-675-4501",
            "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": "801-821-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISTETTER",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "10964123-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.