1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Psychologist
  6. NPI Profile

POLIZZI FOUNDATION
NPI 1265976195
Psychologist - Prescribing (Medical) in Salt Lake City, UT

Active since December 12, 2016
515 E 4500 S, SUITE G220, SALT LAKE CITY, UT 84107(801) 590-9557(801) 590-9957 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Polizzi Foundation NPPES

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

POLIZZI FOUNDATION (NPI 1265976195) is a healthcare organization registered as a prescribing (medical) in Salt Lake City, Utah and active in the NPI registry since December 2016. The organization lists Liz Kociolek, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265976195
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NamePOLIZZI FOUNDATION
Location Address515 E 4500 S, SUITE G220Salt Lake City, UT 84107-4500
Mailing Address515 E 4500 S, Suite G220Salt Lake City, UT 84107-4500 · (801) 590-9557 · Fax (801) 590-5997
Phone(801) 590-9557
Fax(801) 590-9957
Organization SubpartNo
Authorized OfficialLiz KociolekExecutive Director · (801) 590-9557
Enumeration DateDecember 12, 2016
✔ NPI 1265976195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in UT · 178852-1205
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

515 E 4500 S, Salt Lake City, UT 84107
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

INTEGRATED PROFESSIONAL SERV LLC
Clinic/Center (Sleep Disorder Diagnostic)
515 E 4500 S, SUITE G-220
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-0921
AMEER INTERNAL & SLEEP MEDICINE CONSULTANTS
Clinic/Center (Primary Care)
515 E 4500 S, G220
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-0921

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 Polizzi Foundation's NPI number?

The NPI number for Polizzi Foundation is 1265976195. It was assigned to this organization in the NPPES registry on December 12, 2016.

Where is Polizzi Foundation located?

Polizzi Foundation is located at 515 E 4500 S Suite G220, Salt Lake City, UT 84107. The listed phone number is (801) 590-9557.

What is Polizzi Foundation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Polizzi Foundation was last updated on December 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.