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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN BERTHOLD, PMHNP

Active Sole Proprietor

Nurse Practitioner · SALT LAKE CITY, UT

Registration Details

NPI Number
1235741679
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2020 (5.6763547391524 yrs)
Last Updated
Nov 11, 2025
Licenses
286456 (AZ)
14241564-4405 (UT)
14241564-4405 (UT)
Sole Proprietor
Yes

Practice Information

Address
5770 S 1500 W
SALT LAKE CITY, UT, 841235216
Browse UT providers · Browse ZIP 84123
Phone
8012653412
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in SALT LAKE CITY, UT

Name Credential NPI
BEVERLY A KRENSKY FNP, BC 1669471421
MRS. TERRY LEE SCHOENWALD WHCNP 1871587121
LAURIE ELLIS N.P. 1770578254
CYNTHIA PHYLLIS WASEK 1952398737
DR. PENNY KAYE JENSEN FNP-C 1023081452
ANDREA M SCHINDLER A.P.R.N. 1114976537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.