NPI 1619082070 · live from the CMS NPI Registry
Robert Jason Coryell, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1619082070, active.
NPI record
| NPI | 1619082070 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 | 801-662-1000 |
| Mailing address | Po Box 30180, Mc: Cdrc-P, Salt Lake City, UT 84130 |
| Enumerated | August 19, 2006 |
| Last updated | September 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | ML20008670 (WA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 42139546-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.