IndividualActive
Mitzi Wasserstein, M.D.
NPI 1679517916 · Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1679517916
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 276364-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
500 Foothill Blvd
116op
Salt Lake City, UT 84148-0001
Phone: (801) 584-1217
Fax: (801) 584-2544
Street-level locationGet directions
Mailing address
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 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.