PEDIATRIC BEHAVIORAL HEALTH OUTPATIENT SVCS
NPI 1174073746
Psychiatry & Neurology - Child & Adolescent Psychiatry in Salt Lake City, UT
About Pediatric Behavioral Health Outpatient Svcs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC BEHAVIORAL HEALTH OUTPATIENT SVCS (NPI 1174073746) is a healthcare organization registered as a child & adolescent psychiatry in Salt Lake City, Utah and active in the NPI registry since October 2016. The organization lists Edward Clark, Department Chair, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pediatric Behavioral Health Outpatient Svcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
110Medicare enrollment records show 110 clinicians reassign Medicare billing to Pediatric Behavioral Health Outpatient Svcs, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 110Salt Lake City, UT 84108
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 University Of Utah Pediatric Behavioral Health Services's NPI number?
The NPI number for University Of Utah Pediatric Behavioral Health Services is 1174073746. It was assigned to this organization in the NPPES registry on October 7, 2016. The provider is doing business as Pediatric Behavioral Health Outpatient Svcs.
Where is University Of Utah Pediatric Behavioral Health Services located?
University Of Utah Pediatric Behavioral Health Services is located at 501 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 585-1575.
What is University Of Utah Pediatric Behavioral Health Services's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is University Of Utah Pediatric Behavioral Health Services enrolled in Medicare?
Yes. University Of Utah Pediatric Behavioral Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through University Of Utah Pediatric Behavioral Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 8 Medicare specialties reassign their Medicare billing to University Of Utah Pediatric Behavioral Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (31), Clinical Psychologist (29) and Clinical Social Worker (26). Of these, 3 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does University Of Utah Pediatric Behavioral Health Services accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Utah Pediatric Behavioral Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for University Of Utah Pediatric Behavioral Health Services was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pediatric Behavioral Health Outpatient Svcs · NPI 1174073746
Child & Adolescent Psychiatry organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since October 7, 2016.
## Identity
- **NPI:** 1174073746 (Entity type: Organization)
- **Enumerated:** October 7, 2016
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **Legal business name:** University Of Utah Pediatric Behavioral Health Services
- **Organization subpart:** Yes (part of University Of Utah Pediatric Behavioral Health Services)
- **Authorized official:** Edward Clark, DEPARTMENT CHAIR
## Practice location
- **Address:** 501 S CHIPETA WAY, Salt Lake City, UT 84108-1222
- **Phone:** (801) 585-1575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 110 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (31), Clinical Psychologist (29), Clinical Social Worker (26); 3 practice at this address and 66 within 10 miles; [full list](https://npiprofile.com/npi/1174073746/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1174073746) · Data from the CMS NPPES public registry.