Pediatric Behavioral Health
NPI 1942476569ActiveOrganization· Pediatrics, Developmental - Behavioral Pediatrics· Salt Lake City, UT
Pediatrics, Developmental - Behavioral Pediatrics in Salt Lake City, Utah, registered in NPPES in May 2008. The authorized official on file is Edward B. Clark, MD, Chairperson.
Overview
| NPI | 1942476569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2008 |
| Last updated in NPPES | Sep 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | — | — |
| Pediatrics | 208000000X | — | — |
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics, Developmental - Behavioral Pediatrics providers in Salt Lake City
- 1821188442
- 1174971691
- 1649631599
- 1720220353
- 1952751513
- 1891745345
- 1184714784
- 1235227307
All Pediatrics, Developmental - Behavioral Pediatrics providers in Utah