SAMUEL JONES LLAVINA MD
NPI 1154180404
Psychiatry & Neurology - Psychiatry in Draper, UT

Q: What is Samuel Llavina's NPI number?

The NPI number for Samuel Llavina is 1154180404. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Samuel Llavina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Llavina was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2024PECOS Enrolled

12222 S 1000 E STE 3, DRAPER, UT 84020(801) 987-3592 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samuel Jones Llavina Md NPPES

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

SAMUEL JONES LLAVINA MD (NPI 1154180404) is an individual psychiatry provider in Draper, Utah, licensed in Utah (14245432-1205) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1154180404

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSAMUEL JONES LLAVINACredential: MD

Location Address12222 S 1000 E STE 3Draper, UT 84020-3203

Mailing Address501 S Chipeta WaySalt Lake City, UT 84108-1222 · (801) 585-0895

Phone(801) 987-3592

Sole ProprietorNo

Enumeration DateMarch 18, 2024

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1154180404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in UT · 14245432-1205

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

12222 S 1000 E STE 3, Draper, UT 84020

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Secondary Practice Location 1

Location 1501 S Chipeta WaySalt Lake City, UT 84108-1222 · Phone (801) 585-0895

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Jones Llavina Md 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 84020 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.

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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.

CADEN PETERSON

Behavior Technician