NPI 1154180404

Samuel Jones Llavina, MD

Practitioner Psychiatry Physician Draper, UT

Practice location

Address: 12222 S 1000 E STE 3, Draper, UT 84020-3203
Phone: (801) 987-3592
Mailing address: 501 S Chipeta Way, Salt Lake City, UT 84108-1222

Registered specialties (3)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 14245432-1205 (UT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1154180404
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2024
Record last updated: 29 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.