UNIVERSITY OF UTAH BEHAVIORAL HEALTH SELF PAY CLINIC
NPI 1255706636
Psychologist in Salt Lake City, UT

Active since December 10, 2015
650 S KOMAS DR, 206, SALT LAKE CITY, UT 84108(801) 585-1212 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of Utah Behavioral Health Self Pay Clinic NPPES

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

UNIVERSITY OF UTAH BEHAVIORAL HEALTH SELF PAY CLINIC (NPI 1255706636) is a healthcare organization registered as a psychologist in Salt Lake City, Utah and active in the NPI registry since December 2015. The organization lists James Ashworth, Vice Chair, Clinical Affairs, as its authorized official.

NPPES Registry Identity

NPI1255706636
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameUNIVERSITY OF UTAH BEHAVIORAL HEALTH SELF PAY CLINIC
Location Address650 S KOMAS DR, 206Salt Lake City, UT 84108-1215
Mailing AddressPo Box 413076Salt Lake City, UT 84141-3076 · (801) 213-3900
Organization SubpartNo
Authorized OfficialJames AshworthVice Chair, Clinical Affairs · (801) 587-6336
Enumeration DateDecember 10, 2015
NPI 1255706636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
650 S KOMAS DR, Salt Lake City, UT 84108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

Social Worker
650 S KOMAS DR, 200
SLC, UT 84108
Community/Behavioral Health
650 S KOMAS DR
SALT LAKE CITY, UT 84108
Behavior Analyst
650 S KOMAS DR, SUITE 200
SALT LAKE CITY, UT 84108
Psychiatry & Neurology (Psychiatry)
650 S KOMAS DR, SUITE 208
SALT LAKE CITY, UT 84108
Social Worker (Clinical)
650 S KOMAS DR, SUITE 200
SALT LAKE CITY, UT 84108
Community/Behavioral Health
650 S KOMAS DR, STE 200
SALT LAKE CITY, UT 84108
Behavior Analyst
650 S KOMAS DR, SUITE 200
SALT LAKE CITY, UT 84108
Counselor
650 S KOMAS DR, SUITE 200
SALT LAKE CITY, UT 84108

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 Behavioral Health Self Pay Clinic's NPI number?

The NPI number for University Of Utah Behavioral Health Self Pay Clinic is 1255706636. It was assigned to this organization in the NPPES registry on December 10, 2015.

Where is University Of Utah Behavioral Health Self Pay Clinic located?

University Of Utah Behavioral Health Self Pay Clinic is located at 650 S Komas Dr 206, Salt Lake City, UT 84108. The listed phone number is (801) 585-1212.

What is University Of Utah Behavioral Health Self Pay Clinic's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for University Of Utah Behavioral Health Self Pay Clinic was last updated on December 10, 2015. 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.