NEUROSTIMULATION CLINIC - PEDIATRIC ADOLESCENT
NPI 1033573191
Clinic/Center - Adolescent and Children Mental Health in Salt Lake City, UT

NPI Status: Active since April 05, 2016

Contact Information

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 587-6336

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • Accepts Insurance

About NEUROSTIMULATION CLINIC - PEDIATRIC ADOLESCENT

This page provides the complete NPI Profile along with additional information for Neurostimulation Clinic - Pediatric Adolescent, a provider established in Salt Lake City, Utah operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1033573191 assigned on April 2016. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Neurostimulation Clinic - Pediatric Adolescent operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Neurostimulation Clinic - Pediatric Adolescent. The authorized official of this NPI record is Jon Kar Zubieta Md (Department Chair)

NPI
1033573191
Provider Legal Name
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Other Organization Name
NEUROSTIMULATION CLINIC - PEDIATRIC ADOLESCENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
501 S CHIPETA WAY SALT LAKE CITY, UT 84108
Location Phone
(801) 587-6336
Mailing Address
PO BOX 413021 SALT LAKE CITY, UT 84141
Mailing Phone
(801) 587-6336
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-05-2016
Last Update Date
04-06-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0008XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neuromuscular Medicine

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON KAR ZUBIETA MD

Authorized Official Title
DEPARTMENT CHAIR
Authorized Official Phone
(801) 587-6336

Reviews for NEUROSTIMULATION CLINIC - PEDIATRIC ADOLESCENT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033573191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631076118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 7 + 6 + 1 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1033573191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205264769 DYANA ADAMSON LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-5624
1598891616DR. SEBASTIAN KREITSCHITZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 585-1575
1386775476DR. LAURA BETH GILLEY HENSLEY MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-3287
1831528645 JOSEPH NAVARRO RN
Individual
Registered Nurse501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 583-2500
1538576426 DENISE KARTCHNER STEELE LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-3000
1518375104 ALLIE DIAMOND LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-3000
1740699792 AMANDA LEE SPEER LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-3235
1679977813 ELIZABETH WARTON LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 583-2500
1093110470 RAINEY BOATENG LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 583-2500
1063800522 MAUREEN SIMES
Individual
Registered Nurse501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 583-2500
1255723714 CRISTINA HUDAK-ROSANDER PH.D.
Individual
Psychologist (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 583-2500
1427437011 KELSEY WETZEL
Individual
Registered Nurse501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-2460
1063892016 JENNIFER HARMON
Individual
Counselor (Mental Health)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-2460
1588033633MR. BENJAMIN CARNEY LCSW
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-3000
1073987905 MICHAEL TRAPLETTI
Individual
Social Worker (Clinical)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-3111
1518321660UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-6336
1528413531UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Organization
Clinic/Center (Adolescent and Children Mental Health)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-6336
1174971691UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Organization
Pediatrics (Developmental - Behavioral Pediatrics)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-6336
1174973531 MATTHEW DAVIS PH.D.
Individual
Psychologist (Counseling)501 S CHIPETA WAY
SLC, UT 84108
(801) 583-2500
1871955773UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
(801) 587-6336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033573191, enumerated in the NPI registry as an "organization" on April 05, 2016

The provider is located at 501 S Chipeta Way Salt Lake City, Ut 84108 and the phone number is (801) 587-6336

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 05, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.