ALEXANDER COLE THACKERY DO
NPI 1093565061
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Q: What is Alexander Thackery's NPI number?

The NPI number for Alexander Thackery is 1093565061. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Alexander Thackery's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 25, 2024PECOS Enrolled

501 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-7951 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alexander Cole Thackery Do NPPES

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

ALEXANDER COLE THACKERY DO (NPI 1093565061) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (14241485-1204) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093565061

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameALEXANDER COLE THACKERYCredential: DO

Location Address501 S CHIPETA WAYSalt Lake City, UT 84108-1222

Mailing Address501 S Chipeta WaySalt Lake City, UT 84108-1222 · (801) 581-7951

Phone(801) 581-7951

Sole ProprietorNo

Enumeration DateMarch 25, 2024

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1093565061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in UT · 14241485-1204

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

501 S CHIPETA WAY, Salt Lake City, UT 84108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Cole Thackery Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. ERIC THAYNE MONSON MD, PHD

Psychiatry & Neurology (Psychiatry)