IndividualActive
Jamie Bustamante, PHD
NPI 1982097127 · Counseling Psychologist · Salt Lake City, UT
Provider details
- NPI number
- 1982097127
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 4602 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
409 W 400 S
Salt Lake City, UT 84101-1135
Phone: (801) 364-0058
Street-level locationGet directions
Mailing address
850 E 300 S Ste 6
Salt Lake City, UT 84102-2332
Additional practice locations (1)
- 850 E 300 S Ste 6Salt Lake City, UT 84102-2332Phone: (801) 618-0852
Registry dates
- Enumerated
- 2015-03-12
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.