Active NPI
Gerrit Ian Van Schalkwyk, MD
- Psychiatry Physician
- Taylorsville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11866360-1205
- Practice address
- 5770 S 1500 W
Taylorsville, UT 84123-5216 - Phone
- (801) 313-7770
- NPI assigned
- Jul 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 053229 | CT | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 11866360-1205 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 11866360-1205 | UT | Primary |
Addresses
Primary practice location
5770 S 1500 W
Taylorsville, UT 84123-5216
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone (801) 662-5592
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 |
|---|---|---|---|
| 053229 | CT | MD | Child & Adolescent Psychiatry Physician |
| 11866360-1205 | UT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Psychiatry | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1225 E Fort Union Blvd
Ste 315
Midvale, UT 84047
Phone (801) 233-4100
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951
81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
5770 S 1500 W
Taylorsville, UT 84123
Phone (801) 265-3000
Organizations & group practices 8
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.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Pediatric Behavioral Health
- Developmental - Behavioral Pediatrics Physician
- Salt Lake City, UT
- NPI 1649631599
-
dba IMED Utah Heart - Panguitch
- Multi-Specialty Clinic/Center
- Panguitch, UT
- NPI 1952535718
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Pediatric Sports Psychiatry
- Sports Medicine (Psychiatry & Neurology) Physician
- Salt Lake City, UT
- NPI 1467320671
-
dba Neurostimulation Clinic - Pediatric Out Reach
- Adolescent and Children Mental Health Clinic/Center
- Salt Lake City, UT
- NPI 1528413531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1811242381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 S 1500 W",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235216",
"telephone_number": "801-313-7770"
}
],
"practiceLocations": [
{
"address_1": "81 N Mario Capecchi Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841131125",
"country_code": "US",
"telephone_number": "801-662-5592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN SCHALKWYK",
"first_name": "GERRIT",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-19",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "053229",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "UT",
"license": "11866360-1205",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "11866360-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.