JORDAN RULLO LLC
NPI 1881109544
Clinic/Center - Adult Mental Health in Salt Lake City, UT

Q: What is Jordan Rullo LLC's NPI number?

The NPI number for Jordan Rullo LLC is 1881109544. It was assigned to this organization in the NPPES registry on December 4, 2017.

Q: What is Jordan Rullo LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Q: Is Jordan Rullo LLC enrolled in Medicare?

No. Jordan Rullo LLC has opted out of Medicare through June 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jordan Rullo LLC was last updated on December 4, 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.

Active since December 04, 2017Opted out of Medicare · through Jun 17, 2027

1433 S 1100 E, SALT LAKE CITY, UT 84105(385) 202-4250 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Rullo Llc NPPES

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

JORDAN RULLO LLC (NPI 1881109544) is a healthcare organization registered as an adult mental health in Salt Lake City, Utah and active in the NPI registry since December 2017. The organization has opted out of Medicare through June 17, 2027 and lists Jordan Elizabeth Rullo, Psychologist/manager, as its authorized official.

NPPES Registry Identity

NPI1881109544

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameJORDAN RULLO LLC

Location Address1433 S 1100 ESalt Lake City, UT 84105-2434

Mailing Address2958 S Metropolitan WaySalt Lake City, UT 84109-2237 · (385) 202-4250

Phone(385) 202-4250

Organization SubpartNo

Authorized OfficialJordan Elizabeth RulloPsychologist/manager · (612) 991-3042

Enumeration DateDecember 4, 2017

✔ NPI 1881109544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1433 S 1100 E, Salt Lake City, UT 84105

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan Rullo Llc 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 June 17, 2021 through June 17, 2027.

Opt-Out Effective DateJune 17, 2021

Opt-Out In Effect ThroughJune 17, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

BURTON COUNSELING

Community/Behavioral Health

1433 S 1100 E
SALT LAKE CITY, UT 84105

Salt Lake County (801) 581-0422

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 Jordan Rullo LLC's NPI number?

The NPI number for Jordan Rullo LLC is 1881109544. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Jordan Rullo LLC located?

Jordan Rullo LLC is located at 1433 S 1100 E, Salt Lake City, UT 84105. The listed phone number is (385) 202-4250.

What is Jordan Rullo LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Jordan Rullo LLC enrolled in Medicare?

No. Jordan Rullo LLC has opted out of Medicare through June 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordan Rullo LLC was last updated on December 4, 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.