Active NPI
Donna Kay Philippi, D.O.
- Psychiatry Physician
- Salt Lake City, UT
National Provider Identifier
1881670982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 323344-1204
- Practice address
- 1550 E. 3300 S.
Salt Lake City, UT 84106 - Phone
- (801) 631-1624
- Fax
- (801) 210-7426
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3233441204 | UT | |
| Psychiatry Physician | 2084P0800X | 323344-1204 | UT | Primary |
Addresses
Primary practice location
1550 E. 3300 S.
Salt Lake City, UT 84106
Mailing address
1550 E. 3300 S.
Salt Lake City, UT 84106
Phone (801) 631-1624
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107012521101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| 341619 | Other | UT | DESERET MUTUAL |
| 942938348015 | Other | UT | CHAMPUS |
| 942938348PH1 | Other | UT | EDUCATORS MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323344-1204 | UT | MD | Psychiatry Physician |
| 3233441204 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Psychiatry | Past | Accepting new patients |
| University of Utah Medical Center Psychiatry | Psychiatry | Past | Accepting new patients |
| Valley Mental Health Incorporated | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1821024217
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Psychiatry
-
- Geriatric Psychiatry Physician
- Salt Lake City, UT
- NPI 1366408874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1881670982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 E. 3300 S.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84106",
"telephone_number": "801-631-1624",
"fax_number": "801-210-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E. 3300 S.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84106",
"telephone_number": "801-631-1624",
"fax_number": "801-210-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPPI",
"first_name": "DONNA",
"middle_name": "KAY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "3233441204",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "323344-1204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMOUNTAIN HEALTH CARE",
"identifier": "107012521101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "341619",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "942938348015",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "942938348PH1",
"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 Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.