OrganizationActive
University of Utah Pediatric Behavioral Health Services
NPI 1174073746 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1174073746
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- University of Utah Pediatric Behavioral Health Services
- Organization subpart
- Yes
- Authorized official
- Edward Clark, Department Chair(801) 587-6336
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone: (801) 585-1575
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413021
Salt Lake City, UT 84141-3021
Other names (DBA / former)
- Doing business as
- Pediatric Behavioral Health Outpatient Svcs
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2016-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.