NPI 1235879297 · live from the CMS NPI Registry
Madison Marie Close, DO
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1235879297, active.
NPI record
| NPI | 1235879297 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 |
| Practice phone | 801-662-5700 |
| Enumerated | March 29, 2022 |
| Last updated | October 20, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 14309751-1204 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.