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

Pediatric Behavioral Health

Organization Pediatrics Physician · NPI 1942476569

Pediatric Behavioral Health is a Pediatrics Physician in Salt Lake City, Utah. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3
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Practice location Address checks out

100 N Medical Dr Peds Behavioral Health
Salt Lake City, UT 84113-1103
Phone: (801) 662-2100
Fax: (801) 587-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X
Pediatrics Physician Taxonomy 208000000X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X

Record details

NPI number1942476569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chairperson · (801) 587-7400
NPI enumeratedMay 3, 2008
Last updated in NPPESSeptember 6, 2011
Mailing address295 Chipeta Way, U Of U Som Dept Of Pediatrics, Salt Lake City, UT 84108-1220

Other providers in Salt Lake City