National Provider Identifier Database

JORDAN KONCINSKY, MD, MS – NPI #1659803294
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

JORDAN KONCINSKY, MD, MS
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1125
Phone: 801-662-5702
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Pediatrics 208000000X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for JORDAN KONCINSKY

NPI Number 1659803294
Credentials MD, MS
Entity Individual
Enumeration date 04/03/2017
Last updated 10/20/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 10964186-1205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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