NPI 1861039745 · live from the CMS NPI Registry
Mckenna L. Coletti, MD
Psychiatry & Neurology, Vascular Neurology in Salt Lake City, UT. National Provider Identifier 1861039745, active.
NPI record
| NPI | 1861039745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Vascular Neurology 2084V0102X |
| Practice location | 50 N Medical Dr, Salt Lake City, UT 84132 |
| Practice phone | 801-581-2121 |
| Enumerated | December 10, 2019 |
| Last updated | December 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Vascular Neurology primary | 2084V0102X | 12127423-1205 (UT) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 12127423-1205 (UT) |
| Pediatrics | 208000000X | 12127423-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.