UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
NPI 1467320671
Psychiatry & Neurology - Sports Medicine in Salt Lake City, UT

Active since October 28, 2025
590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-7109 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About University Of Utah Pediatric Behavioral Health Services NPPES

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

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES (NPI 1467320671), doing business as Pediatric Sports Psychiatry, is a healthcare organization registered as a sports medicine in Salt Lake City, Utah and active in the NPI registry since October 2025. The organization lists Jeannine Rushton, Director, as its authorized official.

NPPES Registry Identity

NPI1467320671
Entity TypeOrganization
Primary Taxonomy2084S0010X
Legal Business NameUNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450
Organization SubpartNo
Authorized OfficialJeannine RushtonDirector · (801) 587-6463
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1467320671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0010X
Definition
A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.
590 S WAKARA WAY, Salt Lake City, UT 84108

Other Names 1

Doing Business AsPediatric Sports Psychiatry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Utah Pediatric Behavioral Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

110

Medicare enrollment records show 110 clinicians reassign Medicare billing to University Of Utah Pediatric Behavioral Health Services, which bills Medicare for the services they deliver. Of these, 69 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Psychiatry31
Clinical Psychologist29
Clinical Social Worker26
Nurse Practitioner14
Pediatric Medicine6
Qualified Speech Language Pathologist2
Marriage and Family Therapist1
Neuropsychiatry1

Nearest to this location (20)

See all 110
Pediatric Medicine
NPI 1679514988
650 KOMAS DR SUITE 200
Salt Lake City, UT 84108
(801) 585-5515
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1184669848
650 KOMAS DR 200
Salt Lake City, UT 84108
(801) 581-5515
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1710920566
650 KOMAS DR SUITE 200
Salt Lake City, UT 84108
(801) 581-5515
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1700933538
650 KOMAS DR SUITE 208
Salt Lake City, UT 84108
(801) 585-1212
✔ PECOS✔ Accepts Medicare0.2 mi
Neuropsychiatry
NPI 1366736886
650 S KOMAS DR STE 200
Salt Lake City, UT 84108
(801) 581-5515
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Psychologist
NPI 1871691956
650 KOMAS DR #208
Salt Lake City, UT 84108
(801) 585-1212
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1326421488
650 S KOMAS DR SUITE 200
Salt Lake City, UT 84108
(801) 581-5515
✔ PECOS0.2 mi
Clinical Psychologist
NPI 1861935223
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 583-2500
✔ PECOS0.4 mi
Clinical Psychologist
NPI 1730037078
501 S CHIPETA WAY
Slc, UT 84108
(801) 699-0870
✔ PECOS0.4 mi
Clinical Psychologist
NPI 1508736950
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 583-2500
✔ PECOS0.4 mi
Clinical Psychologist
NPI 1831989334
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 587-6164
✔ PECOS0.4 mi
Psychiatry
NPI 1396372876
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 581-7951
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1356768329
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 583-2500
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1346370491
501 S CHIPETA WAY
Salt Lake City, UT 84108
(303) 775-6543
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1558949982
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 585-0895
✔ PECOS0.4 mi
Psychiatry
NPI 1093805228
501 CHIPETA WAY
Salt Lake City, UT 84108
(801) 587-3123
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1881360295
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 587-3270
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Psychologist
NPI 1417227158
501 S CHIPETA WAY
Salt Lake Cty, UT 84108
(214) 587-5377
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1083703284
501 S CHIPETA WAY
Salt Lake City, UT 84108
(801) 585-1575
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1528035748
501 S CHIPETA WAY ARTEC SOUTH CAMPUS, SECOND FLOOR
Salt Lake City, UT 84108
(801) 585-1575
✔ PECOS0.4 mi
See all 110 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 University Of Utah Pediatric Behavioral Health Services's NPI number?

The NPI number for University Of Utah Pediatric Behavioral Health Services is 1467320671. It was assigned to this organization in the NPPES registry on October 28, 2025. The provider is doing business as Pediatric Sports Psychiatry.

Where is University Of Utah Pediatric Behavioral Health Services located?

University Of Utah Pediatric Behavioral Health Services is located at 590 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-7109.

What is University Of Utah Pediatric Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sports Medicine, with taxonomy code 2084S0010X.

Is University Of Utah Pediatric Behavioral Health Services enrolled in Medicare?

Yes. University Of Utah Pediatric Behavioral Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Utah Pediatric Behavioral Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 8 Medicare specialties reassign their Medicare billing to University Of Utah Pediatric Behavioral Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (31), Clinical Psychologist (29) and Clinical Social Worker (26). Of these, 69 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Of Utah Pediatric Behavioral Health Services accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list University Of Utah Pediatric Behavioral Health Services 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 University Of Utah Pediatric Behavioral Health Services was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.