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

Jordan Rullo LLC

Organization Adult Mental Health Clinic/Center · NPI 1881109544

Jordan Rullo LLC is an Adult Mental Health Clinic/Center in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1433 S 1100 E
Salt Lake City, UT 84105-2434
Phone: (385) 202-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X (UT)

Record details

NPI number1881109544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Rullo — Psychologist/Manager · (612) 991-3042
NPI enumeratedDecember 4, 2017
Last updated in NPPESDecember 4, 2017
Mailing address2958 S Metropolitan Way, Salt Lake City, UT 84109-2237

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