Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Michael Petersen, MD

Individual provider Psychiatry Physician · NPI 1336407790

Anthony Michael Petersen, MD practises Psychiatry in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2012, 14 years ago. Practices with Mountainstar Behavioral Health LLC, a 13-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Pennsylvania and Utah.

Years since qualifying
14
Trained at
University of Utah School of Medicine
Licensed in
PA, UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6550 S Millrock Dr Ste 250
Salt Lake City, UT 84121-2331
Phone: (801) 821-2781
Fax: (801) 901-1194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 630 Medical Dr, Bountiful, UT 84010-4908 — (801) 299-3781
  • 2132 N Robins Dr Ste 300, Layton, UT 84041-7077 — (801) 821-2781
  • 3300 N Triumph Blvd Ste 500, Lehi, UT 84043-6475 — (801) 821-2781
  • 145 W 200 N Ste 600, Provo, UT 84601-3016 — (801) 821-2781

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 8797789-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD457218 (PA)

Record details

NPI number1336407790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Mountainstar Behavioral Health Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients32
Services billed 263 a service is one billed item, such as a visit, a test or a procedure
Average patient age61

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Lakeview Hospital Hospital · Bountiful, UT

Colleagues at Mountainstar Behavioral Health LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 13 clinicians in the practice; 11 are shown here.

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