| Carepoint Inpatient Blue Sky Neurology Utah, Pllc | |
|
1200 E 3900 S Salt Lake City UT 84124-1300 | |
| (801) 268-7111 | |
| Not Available |
| Full Name | Carepoint Inpatient Blue Sky Neurology Utah, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Deborah Smith (VICE PRESIDENT/GENERAL COUNSEL) |
| Authorized Official Contact | 3034362720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carepoint Inpatient Blue Sky Neurology Utah, Pllc 5600 S Quebec St Ste 312a Greenwood Village CO 80111-2208 Ph: (303) 436-2727 | Carepoint Inpatient Blue Sky Neurology Utah, Pllc 1200 E 3900 S Salt Lake City UT 84124-1300 Ph: (801) 268-7111 |
| NPI Number | 1972163368 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 0648500306 |
|---|---|
| Medicare Enrollment ID | O20190923001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972163368 | NPI | - | NPPES |
| Provider Name | Jeffrey C Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033321914 PECOS PAC ID: 2769580075 Enrollment ID: I20070611000486 |
| Provider Name | Matthew R Grantz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134373665 PECOS PAC ID: 8426226432 Enrollment ID: I20110719000142 |
| Provider Name | Alicia Erin Bennett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023317633 PECOS PAC ID: 6002033370 Enrollment ID: I20150708002007 |
| Provider Name | Christopher V. Fanale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598776452 PECOS PAC ID: 6103803465 Enrollment ID: I20191031000399 |
| Provider Name | Kourosh Kahkeshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992048615 PECOS PAC ID: 1759714504 Enrollment ID: I20201125001061 |
| Provider Name | Robert A Weir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821485863 PECOS PAC ID: 2163828682 Enrollment ID: I20210909000959 |
| Provider Name | Emily Lampe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881868412 PECOS PAC ID: 3678738127 Enrollment ID: I20250114002454 |
| Provider Name | Ira Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285645440 PECOS PAC ID: 3678556727 Enrollment ID: I20250306002675 |
| Provider Name | Maysun Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518285634 PECOS PAC ID: 9133438955 Enrollment ID: I20250313002187 |
Shrinkster, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 E 4500 S Ste 302, Salt Lake City, UT 84107 Phone: 801-685-9600 Fax: 801-268-3777 | |
Burton Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1433 S 1100 E, Salt Lake City, UT 84105 Phone: 801-581-0422 | |
Confederated Tribes Of The Goshute Reservation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 Fax: 801-364-4392 | |
Palliative Medicine Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 888 E 3900 S, Suite B, Salt Lake City, UT 84107 Phone: 801-747-0330 | |
Journey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 S Main St Ste B, Salt Lake City, UT 84115 Phone: 801-803-8105 | |
Mandala Healing Journeys Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 E South Temple Ste 250, Salt Lake City, UT 84111 Phone: 801-900-4023 | |
Blossom Aba Therapy Ut Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121 Phone: 732-730-7505 |