Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Ebtsl Psychiatry, Pllc

Child & Adolescent Psychiatry Physician in Holladay, UT · enumerated 2024 · authorized official Adrienne Bennett, Clinic Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275369563

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Registry record

Entity type Organization (Type 2)

Legal business name Ebtsl Psychiatry, Pllc

Parent organization Evidence Based Treatment Centers of Seattle, Pllc

Practice address 2225 E Murray Holladay Rd Ste 116, Holladay, UT, 84117

Phone (877) 919-4521

Enumeration date Sep 12, 2024

Last updated in NPPES Sep 12, 2024

Taxonomy & classification

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Adrienne Bennett

Title Clinic Coordinator

Phone (425) 361-9272

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-12. Verify at npiregistry.cms.hhs.gov.

Where is Ebtsl Psychiatry, Pllc located?

The practice location on file with NPPES is in Holladay, UT.

Providers at this address

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Evidence Based Treatment Centers of Salt Lake City, Pllc Clinical Psychologist · Holladay, UT NPI 1326783689

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-12.