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

Matthew D. Torbenson, MD

Individual provider Psychiatry Physician · NPI 1104455724

Matthew D. Torbenson, MD is a Psychiatry in Provo, Utah. Graduated from Medical College of Wisconsin in 2020, 6 years ago. Practices with Life Change Associates PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
Medical College of Wisconsin
Licensed in
UT
In the registry since
2020
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

395 W Cougar Blvd Ste 601
Provo, UT 84604-3331
Phone: (801) 357-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 S Chipeta Way, Salt Lake City, UT 84108-1222 — (801) 581-4096

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 12476450-1205 (UT)

Record details

NPI number1104455724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2020 (6 years in practice)
Group practice Life Change Associates Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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