JEFFREY PEDERSEN MD
NPI 1316478290
Psychiatry & Neurology - Child & Adolescent Psychiatry in Salt Lake City, UT

NPI Status: Active since March 23, 2017

Contact Information

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 581-7951

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • PECOS Enrolled

About JEFFREY PEDERSEN

This page provides the complete NPI Profile along with additional information for Jeffrey Pedersen, a provider established in Salt Lake City, Utah with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1316478290 assigned on March 2017. The practitioner's primary taxonomy code is 2084P0804X with license number 11762505-1205 (UT). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1316478290
Provider Name
JEFFREY PEDERSEN MD
Gender
Male
Entity Type
Individual
Location Address
501 S CHIPETA WAY SALT LAKE CITY, UT 84108
Location Phone
(801) 581-7951
Mailing Address
501 S CHIPETA WAY SALT LAKE CITY, UT 84108
Mailing Phone
(801) 581-7951
Is Sole Proprietor?
No
Enumeration Date
03-23-2017
Last Update Date
07-08-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
11762505-1205
License State
UT
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jeffrey Pedersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JEFFREY PEDERSEN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316478290
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23268716218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 8 + 7 + 1 + 6 + 2 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1316478290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DYANA ADAMSON LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-5624

DR. SEBASTIAN KREITSCHITZ M.D.

Psychiatry & Neurology

(Psychiatry)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 585-1575

DR. LAURA BETH GILLEY HENSLEY MD

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-3287

JOSEPH NAVARRO RN

Registered Nurse

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 583-2500

DENISE KARTCHNER STEELE LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-3000

ALLIE DIAMOND LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-3000

AMANDA LEE SPEER LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-3235

ELIZABETH WARTON LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 583-2500

RAINEY BOATENG LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 583-2500

MAUREEN SIMES

Registered Nurse

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 583-2500

CRISTINA HUDAK-ROSANDER PH.D.

Psychologist

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 583-2500

KELSEY WETZEL

Registered Nurse

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-2460

JENNIFER HARMON

Counselor

(Mental Health)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-2460

MR. BENJAMIN CARNEY LCSW

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-3000

MICHAEL TRAPLETTI

Social Worker

(Clinical)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-3111

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

Clinic/Center

(Adolescent and Children Mental Health)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-6336

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-6336

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

Clinic/Center

(Adolescent and Children Mental Health)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-6336

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

Pediatrics

(Developmental - Behavioral Pediatrics)

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108

(801) 587-6336

MATTHEW DAVIS PH.D.

Psychologist

(Counseling)

501 S CHIPETA WAY
SLC, UT
ZIP 84108

(801) 583-2500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316478290, enumerated as an "individual" on March 23, 2017.

The provider is located at 501 S CHIPETA WAY SALT LAKE CITY, UT 84108 and the phone number is (801) 581-7951.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.