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

Individual provider Psychologist · NPI 1982097127

Jamie Leigh Bustamante, PHD is a Clinical Psychologist in Salt Lake City, Utah. Qualified in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
13
Licensed in
AZ, UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

409 W 400 S
Salt Lake City, UT 84101-1135
Phone: (801) 364-0058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 850 E 300 S Ste 6, Salt Lake City, UT 84102-2332 — (801) 618-0852

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 102501922501 (UT)
Psychologist Taxonomy 103T00000X · Licence 4602 (AZ)

Record details

NPI number1982097127
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 12, 2015
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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