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DR. GRACE M THEODORO M.D.
NPI 1366566416
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since March 16, 2007
4021 S 700 E STE 300, SALT LAKE CITY, UT 84107(314) 432-1805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Grace M Theodoro M.d. NPPES

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

DR. GRACE M THEODORO M.D. (NPI 1366566416) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Arizona (30763) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1366566416
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GRACE M THEODOROCredential: M.D.
Location Address4021 S 700 E STE 300Salt Lake City, UT 84107-2184
Mailing Address9 Ladue Estates DrSaint Louis, MO 63141-8321 · (314) 432-1805
Phone(314) 432-1805
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366566416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AZ · 30763
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4021 S 700 E STE 300, Salt Lake City, UT 84107
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Other Names 1

Other Name (5)Dr. Graciela H Theodoro M.d.

Other Identifiers 1

Medicare UPINA28658

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.

DR. GAYLE PELTZ M.D.
Family Medicine
4021 S 700 E STE 300
SALT LAKE CITY, UT 84107
Salt Lake County (800) 643-6822
DR. LIANE MARISSA BROMER M.D.
Family Medicine
4021 S 700 E STE 300
SALT LAKE CITY, UT 84107
Salt Lake County (800) 453-3030
SCOTT D HUNT PAC
Physician Assistant (Medical)
4021 S 700 E STE 300
SALT LAKE CITY, UT 84107
Salt Lake County (800) 634-9583
DR. PATRICIA L GRIFFITH M.D.
Orthopaedic Surgery
4021 S 700 E STE 300
SALT LAKE CITY, UT 84107
Salt Lake County (800) 341-5095

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 Grace Theodoro's NPI number?

The NPI number for Grace Theodoro is 1366566416. It was assigned to this individual provider in the NPPES registry on March 16, 2007. The provider is also known as Dr. Graciela H Theodoro M.D..

Where is Grace Theodoro located?

Grace Theodoro practices at 4021 S 700 E Ste 300, Salt Lake City, UT 84107. The listed phone number is (314) 432-1805.

What is Grace Theodoro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Grace Theodoro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.