Mountain Pediatric Psychology Inc

LBN: Mountain Pediatric Psychology Inc
Mountain Pediatric Psychology Inc is an health care organization with primary practice located at 3361 Buckboard Dr , Park City UT 84098-5303. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Mountain Pediatric Psychology Inc can be contacted via phone (435) 200-3083, or through Robnett, Jessica via phone (435) 200-3083.

Contact Information

Primary practice address
3361 Buckboard Dr Park City UT 84098-5303
Phone: (435) 200-3083
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robnett, Jessica PSYD
Phone: (435) 200-3083

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1174289144
LBN Legal business name Mountain Pediatric Psychology Inc
DBA Doing business as
Authorized official Robnett, Jessica PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2021
Last updated Nov 13th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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