DR. TRISTYN TEEL WILKERSON PSY.D.
NPI 1306127253
Psychologist in Salt Lake City, UT

Active since September 06, 2011Opted out of Medicare · through Oct 27, 2027
230 S 500 E, SUITE 100, SALT LAKE CITY, UT 84102(801) 532-1484(801) 532-1486 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tristyn Teel Wilkerson Psy.d. NPPES

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

DR. TRISTYN TEEL WILKERSON PSY.D. (NPI 1306127253) is an individual psychologist in Salt Lake City, Utah and active in the NPI registry since September 2011. She has opted out of Medicare through October 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306127253
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TRISTYN TEEL WILKERSONCredential: PSY.D.
Location Address230 S 500 E, SUITE 100Salt Lake City, UT 84102-2015
Mailing Address9300 S Redwood Rd, #28-21West Jordan, UT 84088-6607 · (206) 909-3085
Fax(801) 532-1486
Sole ProprietorYes
Enumeration DateSeptember 6, 2011
Last NPPES UpdateDecember 29, 2017
NPI 1306127253 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.
230 S 500 E, Salt Lake City, UT 84102

Other Names 1

Former Name (1)Tristyn Leigh Teel Psy.d

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tristyn Teel Wilkerson Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2017 through October 27, 2027.

Opt-Out Effective DateOctober 27, 2017
Opt-Out In Effect ThroughOctober 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Audiologist
230 S 500 E, SUITE 150
SALT LAKE CITY, UT 84102
Physical Therapist
230 S 500 E, SUITE 150
SALT LAKE CITY, UT 84102
Audiologist
230 S 500 E, SUITE 150
SALT LAKE CITY, UT 84102
Psychologist (Clinical)
230 S 500 E, SUITE 100
SLC, UT 84102

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 Tristyn Wilkerson's NPI number?

The NPI number for Tristyn Wilkerson is 1306127253. It was assigned to this individual provider in the NPPES registry on September 6, 2011. The provider is also known as Tristyn Leigh Teel Psy.D.

Where is Tristyn Wilkerson located?

Tristyn Wilkerson practices at 230 S 500 E Suite 100, Salt Lake City, UT 84102. The listed phone number is (801) 532-1484.

What is Tristyn Wilkerson's specialty?

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

Is Tristyn Wilkerson enrolled in Medicare?

No. Tristyn Wilkerson has opted out of Medicare through October 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tristyn Wilkerson accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Tristyn Wilkerson 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 Tristyn Wilkerson was last updated on December 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.