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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235741679

Benjamin Berthold, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Salt Lake City, Utah. Licensed in Arizona and Utah. Registered with an NPI since 2020.

Licensed in
AZ, UT
In the registry since
2020
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5770 S 1500 W
Salt Lake City, UT 84123-5216
Phone: (801) 265-3412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14241564-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 286456 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 14241564-4405 (UT)

Record details

NPI number1235741679
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

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