NPI 1295232155 · live from the CMS NPI Registry
Matthew Jensen, MD
Psychiatry & Neurology, Epilepsy in Salt Lake City, UT. National Provider Identifier 1295232155, active.
NPI record
| NPI | 1295232155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Epilepsy 2084E0001X |
| Practice location | 175 N Medical Drive East, Salt Lake City, UT 84132 |
| Practice phone | 801-585-6387 |
| Enumerated | April 9, 2018 |
| Last updated | February 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 11405420-1205 (UT) |
| Psychiatry & Neurology, Epilepsy primary | 2084E0001X | 11405420-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.