Individual provider Active NPI

Gerrit Ian Van Schalkwyk, MD

  • Psychiatry Physician
  • Taylorsville, UT
National Provider Identifier
1811242381
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11866360-1205 Issued in UT
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

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925002027 UT Practitioner - Psychiatry 2466720875 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053229CTMDChild & Adolescent Psychiatry Physician
11866360-1205UTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Behavioral Health Services CurrentSince Aug 18, 2020 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 CurrentSince Oct 14, 2020 Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince Oct 14, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 4, 2022 Accepting new patients
University of Utah Pediatric Behavioral Health Services CurrentSince Aug 18, 2020 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.

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

Verify at the official NPI Registry.