PEDIATRIC BEHAVIORAL HEALTH – Developmental - Behavioral Pediatrics Physician, NPI 1942476569

PEDIATRIC BEHAVIORAL HEALTH is a healthcare provider. based in Salt lake city, Utah. specializing in Developmental - Behavioral Pediatrics Physician. The NPI Number for PEDIATRIC BEHAVIORAL HEALTH is 1942476569

Main info

Organization
Name
PEDIATRIC BEHAVIORAL HEALTH
NPI
1942476569
Phone
(801) 587-7400
Address
295 CHIPETA WAY
Authorized Official
DR. EDWARD B CLARK CHAIRPERSON MD
Enumeration Date
3 May 2008
Last Update Date
6 September 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for PEDIATRIC BEHAVIORAL HEALTH

  • Williams Building, 295, Chipeta Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84113, United States

    U OF U SOM DEPT OF PEDIATRICS

    SALT LAKE CITY, UT 841081220

    Phone: (801) 587-7400

    Fax: (801) 587-7417

    Type: Mailing

  • 100, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    PEDS BEHAVIORAL HEALTH

    SALT LAKE CITY, UT 841131103

    Phone: (801) 662-2100

    Fax: (801) 587-7741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84108)

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Reviews

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Frequently asked questions

How do I look up PEDIATRIC BEHAVIORAL HEALTH by NPI?
Use NPI 1942476569 when you need to reference PEDIATRIC BEHAVIORAL HEALTH in forms, claims, or directories.
Is PEDIATRIC BEHAVIORAL HEALTH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does PEDIATRIC BEHAVIORAL HEALTH treat or focus on?
Patients typically see PEDIATRIC BEHAVIORAL HEALTH under the specialty Developmental - Behavioral Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where does public data place PEDIATRIC BEHAVIORAL HEALTH?
The snapshot lists Salt Lake City, Utah for PEDIATRIC BEHAVIORAL HEALTH; download NPPES for the complete set.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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