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PEDIATRIC BEHAVIORAL HEALTH
NPI 1942476569
Pediatrics - Developmental - Behavioral Pediatrics in Salt Lake City, UT

Active since May 03, 2008
100 N MEDICAL DR, PEDS BEHAVIORAL HEALTH, SALT LAKE CITY, UT 84113(801) 662-2100(801) 587-7741 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Behavioral Health NPPES

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

PEDIATRIC BEHAVIORAL HEALTH (NPI 1942476569) is a healthcare organization registered as a developmental - behavioral pediatrics in Salt Lake City, Utah and active in the NPI registry since May 2008. The organization lists Edward B Clark, Chairperson, as its authorized official.

NPPES Registry Identity

NPI1942476569
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NamePEDIATRIC BEHAVIORAL HEALTH
Location Address100 N MEDICAL DR, PEDS BEHAVIORAL HEALTHSalt Lake City, UT 84113-1103
Mailing Address295 Chipeta Way, U Of U Som Dept Of PediatricsSalt Lake City, UT 84108-1220 · (801) 587-7400 · Fax (801) 587-7417
Phone(801) 662-2100
Fax(801) 587-7741
Organization SubpartNo
Authorized OfficialEdward B ClarkChairperson · (801) 587-7400
Enumeration DateMay 3, 2008
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1942476569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X
100 N MEDICAL DR, Salt Lake City, UT 84113
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Other Identifiers 1

Medicare PIN000067840UT

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

MRS. LISA ANN RUNYON CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2993
KATHERINE A HUGHES OT
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Salt Lake County (801) 588-2000
LINDA M LAMBERT A.P.R.N.
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566

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 Pediatric Behavioral Health's NPI number?

The NPI number for Pediatric Behavioral Health is 1942476569. It was assigned to this organization in the NPPES registry on May 3, 2008.

Where is Pediatric Behavioral Health located?

Pediatric Behavioral Health is located at 100 N Medical Dr Peds Behavioral Health, Salt Lake City, UT 84113. The listed phone number is (801) 662-2100.

What is Pediatric Behavioral Health's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

What insurance does Pediatric Behavioral Health accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Behavioral Health 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 Pediatric Behavioral Health was last updated on September 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.