Organization · Type 2 NPI

Moonlit

Psychiatry Physician · Salt Lake City, UT

NPI number 1275348807 Active

Practice location

1336 S 1100 E
Salt Lake City, UT 84105-2421

Fax (801) 810-1343

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1275348807

Moonlit's National Provider Identifier is 1275348807, issued on Feb 11, 2025. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 20, 2026.