Active NPI
Susan Marie Wiet, M.D.
- Psychiatry Physician
- Salt Lake City, UT
National Provider Identifier
1770597726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 371106
- Practice address
- 160 S 1000 E Ste 220
Salt Lake City, UT 84102-1552 - Phone
- (978) 743-9438
- Fax
- (844) 838-8100
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 371106 | UT | Primary |
Addresses
Primary practice location
160 S 1000 E Ste 220
Salt Lake City, UT 84102-1552
Mailing address
850 E 300 S Ste 1
Salt Lake City, UT 84102-2301
Phone (385) 429-9808
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37110612001001 | Other | UT | BLUE CROSS BLUE SHIELD |
| 70927 | Other | UT | PUBLIC EMPLOYEES HEALTH P |
| 870663870SW2 | Other | UT | EMIA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 371106 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Solutions Inc | Psychiatry | Current | Accepting new patients |
| Valley Behavioral Health Incorporated | Psychiatry | Past | Accepting new patients |
Locations
2646 Patterson Rd
Ste B
Grand Junction, CO 81506
Phone (970) 241-1983
5117 S 1500 W
Riverdale, UT 84405
850 E 300 S
Ste 1
Salt Lake Cty, UT 84102
Phone (385) 429-9808
765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1770597726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E 300 S STE 1",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022301",
"telephone_number": "385-429-9808",
"fax_number": "844-838-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S 1000 E STE 220",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021552",
"telephone_number": "978-743-9438",
"fax_number": "844-838-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIET",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "371106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "37110612001001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC EMPLOYEES HEALTH P",
"identifier": "70927",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "870663870SW2",
"state": "UT"
}
],
"endpoints": [],
"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 Apr 4, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.