Michael Alan Kligman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

963170871025 Issued in UT

Practice address

699 E South Temple Ste 200
Salt Lake City, UT 84102-1185

Phone

(801) 532-1806

Fax

(801) 532-1836

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 25, 2016 through Aug 25, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hospital Corporation of Utah

  • Psychiatric Hospital Unit
  • Bountiful, UT
  • NPI 1497709471
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1679615918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021185",
            "telephone_number": "801-532-1806",
            "fax_number": "801-532-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021185",
            "telephone_number": "801-532-1806",
            "fax_number": "801-532-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIGMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "963170871025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Klemz, ACMHC-I
• Taylor Klenk
• Melissa Klepzig
• Machiel Pieter Klerk, LMFT
• Ashley Nicole Kley, LSUDC
• Elliana Noel Kligmann
• Jennifer Leah Kligmann
• Andrew Kline
• Samye Patricia Kline, R.N.
• Erin Carter Klinetop, BSN RN

• Psychiatry Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.