Jacqueline Bernadine Petravage, M.D.
Psychiatry Physician · Salt Lake City, UT
Jacqueline Bernadine Petravage, M.D. is a psychiatry physician with a practice address in Salt Lake City, Utah, and NPI 1104861079, issued on Jun 17, 2006. Check the license (Utah 1664161205, as entered in NPPES) on the Utah Medical Licensing Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacqueline Bernadine Petravage
- Credential
- M.D.
- Primary taxonomy
- Psychiatry Physician 2084P0800X
- License number
- 1664161205 UT
Self-reported in NPPES; status is on the state search - Practice location
- Veteran's Hospital, 500 Foothill Blvd, Salt Lake City, UT 84148
- Phone
- (801) 582-1565
- Enumerated
- Jun 17, 2006
- Record last updated
- Jul 13, 2026
- Fax
- (801) 584-2544
- Entity
- Type 1 · individual
8 nearest psychiatry physician records → All 373 in Utah → Look up another NPI →
Verify Jacqueline Bernadine Petravage in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 1664161205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacqueline Bernadine Petravage among 373 psychiatry physician records in Utah
Jacqueline Bernadine Petravage, M.D. is one of 373 psychiatry physician records with a practice address in Utah. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 65% newer
- In a Medicare fileNo · 64% of these records are
- In the CMS Doctors and Clinicians fileNo · 47% of these records are
- Record last updated2026 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0800X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
183 psychiatry physician records list a practice address in Salt Lake City
They are 183 of the 21,563 NPPES records with a practice address in Salt Lake City, and 373 psychiatry physician records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 373 in Utah → Every provider in Salt Lake City → Psychiatry Physician nationwide →
The 8 psychiatry physician records with the nearest ZIP codes
- Stanley Block, MDSalt Lake City, UT 841481205867637
- Leland Burns, M.D.Salt Lake City, UT 841481316963408
- David Duncan, M.D.Salt Lake City, UT 841481639192669
- William Marchand, M.D.Salt Lake City, UT 841481295773406
- Roger Martineau, M.D.Salt Lake City, UT 841481063454999
- Douglas Roszell, MDSalt Lake City, UT 841481609958610
- Grant Thatcher, M.D.Salt Lake City, UT 841481871536383
- Arthur Timbus, M.D.Salt Lake City, UT 841481437303435
Common questions
What is Jacqueline Bernadine Petravage, M.D.'s NPI number?
Jacqueline Bernadine Petravage, M.D.'s National Provider Identifier (NPI) is 1104861079, issued on Jun 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Bernadine Petravage, M.D. located?
The NPPES record lists a practice address at Veteran's Hospital, 500 Foothill Blvd, Salt Lake City, UT, 84148. Phone: (801) 582-1565. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Bernadine Petravage, M.D.'s license?
NPPES lists Utah license number 1664161205, 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. 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.