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Active NPI 1235741679 Individual Practitioner Male Practitioner

Benjamin Berthold , PMHNP

Nurse Practitioner • Salt Lake City, UT

Professional Overview & Biography Verified Profile Summary

Benjamin Berthold, PMHNP is a registered healthcare professional specializing in Nurse Practitioner in Salt Lake City, UT. Practice services are available at 5770 S 1500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5770 S 1500 W

Salt Lake City, UT 841235216

Telephone 8012653412
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1194840157

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Salt Lake City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
280 Specialists

Practicing in Salt Lake City, UT (1143 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 14241564-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License AZ 286456

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License UT 14241564-4405

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Amy Parry , DNP, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093399610

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Berta Rodriguez-Diaz

Counselor - Mental Health

NPI 1336507433
Siqin Simmons

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1578128443
Emily Shepard

Psychologist

NPI 1679139083
Jennifer Bush , NP

Nurse Practitioner

NPI 1760056089

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 11, 2025

Registered at 5770 S 1500 W, SALT LAKE CITY, UT 841235216 (Tel: 8012653412)

📍
Updated Business Mailing Address November 11, 2025

Registered at PO BOX 30180, SALT LAKE CITY, UT 841300180

📍
Updated Practice Location October 01, 2025

Registered at 5770 S 1500 W, TAYLORSVILLE, UT 841235216 (Tel: 3854782400)

📍
Updated Business Mailing Address October 01, 2025

Registered at 5770 S 1500 W, TAYLORSVILLE, UT 841235216

👤
Provider Name / Credentials Updated October 01, 2025

Recorded as BENJAMIN BERTHOLD, PMHNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2023

Nurse Practitioner (License #286456 in AZ)

📍
Updated Practice Location July 07, 2023

Registered at 5301 E GRANT RD, TUCSON, AZ 857122805 (Tel: 5203244600)

📍
Updated Business Mailing Address July 07, 2023

Registered at 1120 N 5TH AVE # AZ85705, TUCSON, AZ 857057408

NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2020

Registered at 2514 N CAMINO RELOJ, GREEN VALLEY, AZ 856144925 (Tel: 2088915000)

📍
Updated Business Mailing Address August 18, 2020

Registered at 2514 N CAMINO RELOJ, GREEN VALLEY, AZ 856144925

👤
Provider Name / Credentials Updated August 18, 2020

Recorded as BENJAMIN BERTHOLD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Registered Nurse (License #RN212172 in AZ)

🟢
Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235741679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: May 01, 2026
Sole Proprietor: No

Mailing Address

Po Box 30180

Salt Lake City, UT 841300180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.