Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Health Diversified - Medical Group of Utah

Organization Counseling Psychologist · NPI 1508518085

Health Diversified - Medical Group of Utah is a Counseling Psychologist in Holladay, Utah. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
15

Practice location Address checks out

4544 S Holladay Blvd
Holladay, UT 84117-4404
Phone: (801) 682-6817
Fax: (385) 213-0356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Social Worker Taxonomy 1041C0700X
Registered Dietitian Taxonomy 133V00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Therapist Taxonomy 225100000X
Case Management Agency Taxonomy 251B00000X
Corporate Health Clinic/Center Taxonomy 261QC1800X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1508518085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Smith — Authorized Official · (801) 682-6817
NPI enumeratedJanuary 25, 2022
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address5986 S Tolcate Woods Ln, Holladay, UT 84121-1536