NPI 1770744112 · live from the CMS NPI Registry
Nicholas Michael Absalom, MD
Psychiatry & Neurology, Neurology in Midvale, UT. National Provider Identifier 1770744112, active.
NPI record
| NPI | 1770744112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 7259 S Bingham Junction Blvd, Midvale, UT 84047 |
| Practice phone | 801-264-6400 |
| Mailing address | 8750 Mediterranean Dr, Dallas, TX 75238 |
| Enumerated | June 18, 2008 |
| Last updated | June 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 2020003928 (MO) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 036148630 (IL) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 310721 (LA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MC-0602 (ID) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MD185800 (OR) |
| Psychiatry & Neurology, Neurology | 2084N0400X | ME134160 (FL) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | P0329 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.