MARYGLEN V. STANICH MD
NPI 1285261594
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT
About Maryglen V. Stanich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYGLEN V. STANICH MD (NPI 1285261594) is an individual neurology with special qualifications in child neurology provider in Salt Lake City, Utah, licensed in Utah (12409779-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryglen V. Stanich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Maryglen Stanich's NPI number?
The NPI number for Maryglen Stanich is 1285261594. It was assigned to this individual provider in the NPPES registry on March 25, 2020. The provider is also known as Mary Glen Vielleux.
Where is Maryglen Stanich located?
Maryglen Stanich practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5701.
What is Maryglen Stanich's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Maryglen Stanich enrolled in Medicare?
Yes. Maryglen Stanich is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Maryglen Stanich was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Maryglen V. Stanich, MD · NPI 1285261594
Neurology with Special Qualifications in Child Neurology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1285261594 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 12409779-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113-1125
- **Phone:** (801) 662-5701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Washington School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** February 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285261594) · Data from the CMS NPPES public registry.