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TAYLOR C. BLANDING MD
NPI 1104455872
Psychiatry & Neurology - Child & Adolescent Psychiatry in Salt Lake City, UT

Active since April 05, 2020PECOS Enrolled
650 S KOMAS DR STE 208, SALT LAKE CITY, UT 84108(801) 587-3543 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2026, Mar 18, 2026, Oct 4, 2021 and 1 more (4 updates tracked since 2020).

About Taylor C. Blanding Md NPPES

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

TAYLOR C. BLANDING MD (NPI 1104455872) is an individual child & adolescent psychiatry provider in Salt Lake City, Utah, licensed in Utah (12499107-1205) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Tulane University School Of Medicine (2020).

NPPES Registry Identity

NPI1104455872
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameTAYLOR C. BLANDINGCredential: MD
Location Address650 S KOMAS DR STE 208Salt Lake City, UT 84108-1241
Mailing Address650 S Komas Dr Ste 208Salt Lake City, UT 84108-1241 · (801) 587-3543
Phone(801) 587-3543
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1104455872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in UT · 12499107-1205
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License 12499107-1205 (UT)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 12499107-1205 (UT)
650 S KOMAS DR STE 208, Salt Lake City, UT 84108
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Other Names 1

Former Name (1)Taylor M. Crosby

Secondary Practice Location 1

Location 15770 S 1500 WSalt Lake City, UT 84123-5216 · Phone (801) 265-3412

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor C. Blanding Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628476207
PECOS Enrollment IDI20250731000019
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.

Other Providers at the Same Location NPPES 3

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

CLAIRE B. WALKER MD
Psychiatry & Neurology (Psychiatry)
650 S KOMAS DR STE 208
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-5184
MICHELE A. DE LEON JAUREGUI MD
Psychiatry & Neurology (Psychiatry)
650 S KOMAS DR STE 208
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-5184
MS. SHERLENE CLARK DEAN APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
650 S KOMAS DR STE 208
SLC, UT 84108
Salt Lake County (801) 585-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Blanding's NPI number?

The NPI number for Taylor Blanding is 1104455872. It was assigned to this individual provider in the NPPES registry on April 5, 2020. The provider is also known as Taylor M. Crosby.

Where is Taylor Blanding located?

Taylor Blanding practices at 650 S Komas Dr Ste 208, Salt Lake City, UT 84108. The listed phone number is (801) 587-3543.

What is Taylor Blanding's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Taylor Blanding enrolled in Medicare?

Yes. Taylor Blanding is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Blanding was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.