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

Jeffrey G. Clark, MD

Individual provider Psychiatry Physician · NPI 1487041273

Jeffrey G. Clark, MD is a Psychiatry in Kaysville, Utah. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2015, 11 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
11
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA, UT
In the registry since
2015
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

119 S Brady Ln
Kaysville, UT 84037-9428
Phone: (801) 368-6622
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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 10564219-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence C210691 (CA)

Record details

NPI number1487041273
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address119 S Brady Ln, Kaysville, UT 84037-9428

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2015 (11 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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