IndividualActive
Jordan Koncinsky, MD, MS
NPI 1659803294 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1659803294
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10964186-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 662-5702
Approximate (ZIP-level) locationGet directions
Mailing address
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Registry dates
- Enumerated
- 2017-04-03
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.