NPIMap

Individual provider Active NPI

Shawn Jeffrey Kohler, M.D. PHD.

  • Child & Adolescent Psychiatry Physician
  • Farmington, UT
National Provider Identifier
1467728907
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
8781058-1205 Issued in UT
Practice address
291 S 200 W
Farmington, UT 84025-2419
Phone
(801) 213-3770
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 8781058-1205 UT
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 8781058-1205 UT Primary

Addresses

Primary practice location

291 S 200 W
Farmington, UT 84025-2419

Mailing address

291 South 200 West
Farmington, UT 84025
Phone (801) 213-3770

Other practice location 1

525 E 100 S
Salt Lake City, UT 84102-4210
Phone (801) 585-1212

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skohler50142@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170630001811 UT Practitioner - Psychiatry 5092931220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

525 E 100
Suite 500
Salt Lake City, UT 84102-4210
Phone (801) 585-2121

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
66.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8781058-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Behavioral Health Services Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Behavioral Health Services Multi-Specialty Current Accepting new patients
University of Utah Pediatric Acuity Care Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Pediatric Behavioral Health Services Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Behavioral Health Services Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Pediatric Behavioral Health Services Multi-Specialty Current Accepting new patients
University of Utah Acuity Care Services Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Pediatric Acuity Care Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Pediatric Behavioral Health Services Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Acuity Care Services Multi-Specialty CurrentSince May 7, 2017 Accepting new patients
University of Utah Pediatric Acuity Care Multi-Specialty Current Accepting new patients

Locations

291 S 200 W
Farmington, UT 84025
Phone (801) 213-3200

525 E 100 S
Ste 500
Salt Lake City, UT 84102
Phone (801) 519-7190

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

127 S 500 E
Ste 600
Slc, UT 84102

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

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

Organizations & group practices 11

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467728907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SOUTH 200 WEST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-213-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S 200 W",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252419",
            "telephone_number": "801-213-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 100 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841024210",
            "country_code": "US",
            "telephone_number": "801-585-1212",
            "fax_number": "801-585-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "SHAWN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D. PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "8781058-1205",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "8781058-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skohler50142@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.