NPPES file of Aug 9, 2026

Douglas Gavin Kondo, M.D.

Child & Adolescent Psychiatry Physician · Salt Lake City, UT

Douglas Gavin Kondo, M.D. is a child & adolescent psychiatry physician with a practice address in Salt Lake City, Utah, and NPI 1083703284, issued on Oct 12, 2006. Check the license (Utah 6313601-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083703284
Name
Douglas Gavin Kondo
Credential
M.D.
Primary taxonomy
Child & Adolescent Psychiatry Physician 2084P0804X
License number
6313601-1205 UT
Self-reported in NPPES; status is on the state search
Practice location
501 S Chipeta Way, Salt Lake City, UT 84108
Phone
(801) 585-1575
Enumerated
Oct 12, 2006
Record last updated
Mar 7, 2023
Medicare enrollment
Enrolled (PECOS I20070309000269); accepts Medicare assignment
Medical or professional school
University Of Utah School Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 501 S Chipeta Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dyana Adamson, LCSWClinical Social Worker1205264769
  2. Monique AliresClinical Social Worker1245068386
  3. Mitchell Allen, DOPsychiatry Physician1467155135
  4. Katherine Amano, MDPsychiatry Physician1083354062
  5. Marcus Archibald, MDStudent in an Organized Health Care Education/Training Program1609715853
  6. Lauren Bade, MTRS, CTRSRecreation Therapist1821947672

Verify Douglas Gavin Kondo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersUtah Medical Licensing Board
    Search for license 6313601-1205
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Utah license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. University OF Utah Behavioral Health ServicesSalt Lake City, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Douglas Gavin Kondo among 86 child & adolescent psychiatry physician records in Utah

Douglas Gavin Kondo, M.D. is one of 86 child & adolescent psychiatry physician records with a practice address in Utah. 53% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 69% newer
  • In a Medicare fileYes · 53% of these records are
  • In the CMS Doctors and Clinicians fileYes · 31% of these records are
  • Graduated1999 · median 2012 among the 27 with a school on file
  • Record last updated2023 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0804X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Child & Adolescent Psychiatry Physician providers in Utah

There are 86 child & adolescent psychiatry physician records in Utah.

The 8 child & adolescent psychiatry physician records with the nearest ZIP codes

  1. James Ashworth, M.D.Salt Lake City, UT 841081679514988
  2. Kristin Becker, D.O.Salt Lake City, UT 841081346370491
  3. Thomas Conover, M.D.Salt Lake City, UT 841081093805228
  4. Traci David, M.D.Salt Lake City, UT 841081437297272
  5. Beth Gasparo, M.D.Salt Lake City, UT 841081598736217
  6. Laura Gilley Hensley, MDSalt Lake City, UT 841081386775476
  7. Douglas Gray, MDSalt Lake City, UT 841081154429223
  8. Anne Lin, MDSalt Lake City, UT 841081790883874

Common questions

What is Douglas Gavin Kondo, M.D.'s NPI number?

Douglas Gavin Kondo, M.D.'s National Provider Identifier (NPI) is 1083703284, issued on Oct 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Douglas Gavin Kondo, M.D. located?

The NPPES record lists a practice address at 501 S Chipeta Way, Salt Lake City, UT, 84108. Phone: (801) 585-1575. Providers update this record themselves, so call before visiting.

How can I verify Douglas Gavin Kondo, M.D.'s license?

NPPES lists Utah license number 6313601-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.