Pediatric Behavioral Health
NPI 1942476569 · Developmental - Behavioral Pediatrics Physician · Salt Lake City, UT
Pediatric Behavioral Health is a Developmental - Behavioral Pediatrics Physician organization in Salt Lake City, UT (NPI 1942476569).
Provider details
- NPI number
- 1942476569
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Clark, Chairperson(801) 587-7400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-05-03
- Last updated
- 2011-09-06
Frequently asked questions
- What is Pediatric Behavioral Health's NPI number?
- Pediatric Behavioral Health's National Provider Identifier (NPI) is 1942476569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Behavioral Health?
- Pediatric Behavioral Health is classified in the NPPES registry as Developmental - Behavioral Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Behavioral Health located?
- Pediatric Behavioral Health's practice location on file with NPPES is 100 N Medical Dr, Salt Lake City, UT 84113-1103.
- What is Pediatric Behavioral Health's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Behavioral Health is (801) 662-2100.
- Who is the authorized official for Pediatric Behavioral Health?
- The authorized official listed on Pediatric Behavioral Health's NPPES record is Edward Clark, Chairperson. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Behavioral Health's NPI active?
- Yes — Pediatric Behavioral Health's NPI (1942476569) is active in the NPPES registry as of the last update on 2011-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.