MELISSA VITALE MD NPI 1639764590

NPI Information

  • NPI: 1639764590
  • Provider Name: MELISSA VITALE, MD
  • Classification: Pediatrics - 2080C0008X
  • Specialization: Child Abuse Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 295 S CHIPETA WAY RM 2S010
    SALT LAKE CITY, UT
    ZIP 84108
  • Phone: (801) 581-2121

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NPI Details

Melissa Vitale, MD is a child abuse pediatrics pediatrics in Salt Lake City, UT. The provider is a Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. Melissa Vitale, MD NPI is 1639764590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

295 S CHIPETA WAY RM 2S010
SALT LAKE CITY, UT
ZIP 84108-287
Phone: (801) 581-2121

The NPI 1639764590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2021 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22080C0008XPediatricsChild Abuse Pediatrics13928338-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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