SALT LAKE BEHAVIORAL HEALTH
NPI 1053666883
Psychiatric Hospital in Salt Lake City, UT

Q: What is Salt Lake Behavioral Health's NPI number?

The NPI number for Salt Lake Behavioral Health is 1053666883. It was assigned to this organization in the NPPES registry on July 18, 2012.

Q: What is Salt Lake Behavioral Health's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Active since July 18, 2012CLIA 46D2006928 · Waiver

3802 S 700 E, SALT LAKE CITY, UT 84106(801) 264-6000(801) 264-6070 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Salt Lake Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALT LAKE BEHAVIORAL HEALTH (NPI 1053666883) is a healthcare organization registered as a psychiatric hospital in Salt Lake City, Utah and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Susan Ann Short, Np, as its authorized official.

NPPES Registry Identity

NPI1053666883

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameSALT LAKE BEHAVIORAL HEALTH

Location Address3802 S 700 ESalt Lake City, UT 84106-1182

Mailing Address3802 S 700 ESalt Lake City, UT 84106-1182 · (801) 264-6000 · Fax (801) 264-6070

Phone(801) 264-6000

Fax(801) 264-6070

Organization SubpartNo

Authorized OfficialSusan Ann ShortNp · (801) 264-6000

Enumeration DateJuly 18, 2012

Last NPPES UpdateAugust 21, 2012

✔ NPI 1053666883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

License✔ Licensed in UT · 225374-4405

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

3802 S 700 E, Salt Lake City, UT 84106

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2006928

Salt Lake Behavioral Health · Salt Lake City, UT

Active · expires May 3, 2028

CLIA Number46D2006928

Laboratory TypePsychiatric Hospital

Certificate Effective DateMay 4, 2026

Certificate Expiration DateMay 3, 2028

Laboratory DirectorTerece Radmall

Laboratory Phone(801) 264-6000

Laboratory LocationSalt Lake Behavioral Health3802 South 700 East, Salt Lake City, UT 84106

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA FONG APRN

Nurse Practitioner (Psychiatric/Mental Health)