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

Dr. Douglas Gavin Kondo, MD

Individual provider Psychiatry Physician · NPI 1083703284

Dr. Douglas Gavin Kondo, MD is a Pediatric Medicine in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 1999, 27 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
27
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone: (801) 585-1575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 6313601-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 6313601-1205 (UT)

Record details

NPI number1083703284
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESMarch 7, 2023
Certification dateNovember 17, 2021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesPSYCHIATRY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice University Of Utah Behavioral Health Services — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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