# UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
- **Other names:** TeenScope Program - UNI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144684291
- **Legal business name:** UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
- **Authorized official:** JON KAR ZUBIETA MD (DEPARTMENT CHAIR)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
- **Practice address phone:** (801) 587-6336
- **Mailing address:** PO BOX 413021, SALT LAKE CITY, UT 84141-3021
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 09/09/2016