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

Dr. Benjamin Ray Eliason, MD

Individual provider Psychiatry Physician · NPI 1659418267

Dr. Benjamin Ray Eliason, MD is a Psychiatry in South Jordan, Utah. Graduated from Medical College of Wisconsin in 2005, 21 years ago. Practices with Dynamic Psychiatry PLLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota, Oregon and Utah.

Years since qualifying
21
Trained at
Medical College of Wisconsin
Licensed in
MN, OR, UT
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676
Phone: (801) 349-2480
Fax: (801) 363-4885
Show map & directions

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

Additional practice locations (1)

  • 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 — (651) 777-5222

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 10366261-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 10366261-8905 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 75589 (MN)
Clinic/Center Taxonomy 261Q00000X · Licence MD125756 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD125756 (OR)

Record details

NPI number1659418267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address10471 S Alexander Park Ln, South Jordan, UT 84095-3121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2005 (21 years in practice)
Group practice Dynamic Psychiatry Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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