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

Mountain Pediatric Psychology Inc

Organization Psychologist · NPI 1174289144

Mountain Pediatric Psychology Inc is a Psychologist in Park City, Utah. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3361 Buckboard Dr
Park City, UT 84098-5303
Phone: (435) 200-3083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Health Psychologist Taxonomy 103TH0004X

Record details

NPI number1174289144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Robnett — Executive Director · (435) 200-3083
NPI enumeratedNovember 13, 2021
Last updated in NPPESNovember 13, 2021
Certification dateNovember 13, 2021
Mailing address3361 Buckboard Dr, Park City, UT 84098-5303

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