Healthcare Provider Details

I. General information

NPI: 1932063617
Provider Name (Legal Business Name): DR. JOHN JAMES VAN EPPS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 CHIPETA WAY OSHER CENTER FOR INTEGRATIVE HEALTH (4TH FLOOR)
SALT LAKE CITY UT
84108
US

IV. Provider business mailing address

295 CHIPETA WAY OSHER CENTER FOR INTEGRATIVE HEALTH (4TH FLOOR)
SALT LAKE CITY UT
84108
US

V. Phone/Fax

Practice location:
  • Phone: 801-213-3403
  • Fax:
Mailing address:
  • Phone: 801-213-3403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number9843153-2501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: