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

Ivy Christofferson, MD

Individual provider Psychiatry Physician · NPI 1164125209

Ivy Christofferson, MD is a Psychiatry Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2023.

Licensed in
UT
In the registry since
2023
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) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 14139688-1205 (UT)

Record details

NPI number1164125209
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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