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Grace Theodoro, M.D.
NPI 1366566416 · Psychiatry Physician · Salt Lake City, UT
Grace Theodoro, M.D. is a Psychiatry Physician provider in Salt Lake City, UT (NPI 1366566416).
Provider details
- NPI number
- 1366566416
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30763 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4021 S 700 E Ste 300
Salt Lake City, UT 84107-2184
Phone: (314) 432-1805
Street-level locationGet directions
Mailing address
9 Ladue Estates Dr
Saint Louis, MO 63141-8321
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Grace Theodoro's NPI number?
- Grace Theodoro's National Provider Identifier (NPI) is 1366566416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Theodoro's specialty?
- Grace Theodoro is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Grace Theodoro located?
- Grace Theodoro's practice location on file with NPPES is 4021 S 700 E Ste 300, Salt Lake City, UT 84107-2184.
- What is Grace Theodoro's phone number?
- The practice phone number listed in the NPPES registry for Grace Theodoro is (314) 432-1805.
- Is Grace Theodoro's NPI active?
- Yes — Grace Theodoro's NPI (1366566416) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.