Provider Demographics
NPI:1639156649
Name:YAU, JOSEPH K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:YAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 HIGH RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-4860
Mailing Address - Country:US
Mailing Address - Phone:801-201-4348
Mailing Address - Fax:801-619-9796
Practice Address - Street 1:5667 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5433
Practice Address - Country:US
Practice Address - Phone:801-918-3220
Practice Address - Fax:801-905-1161
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT174377-12052084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT94298348YAUOtherEDUCATORS MUTUAL INS
UTE27833OtherMEDICARE HMO
UT876000545838Medicaid
UT55296OtherDESERET MUTUAL INS
UT1639156649Medicaid
UT000063846Medicare PIN
UTE27833OtherMEDICARE HMO
UT94298348YAUOtherEDUCATORS MUTUAL INS
UT000062493Medicare PIN
UT876000545838Medicaid
UT000063845Medicare PIN
UT55296OtherDESERET MUTUAL INS
UT1639156649Medicaid
UT000012338Medicare ID - Type UnspecifiedLLC
UTU000073398Medicare PIN
UT000068976Medicare PIN
UT55296OtherDESERET MUTUAL INS
UT1639156649Medicaid
UTU000073398Medicare PIN
UT000062493Medicare PIN
UT003121011Medicare ID - Type UnspecifiedVALLEY MENTAL HEALTH
UT000063845Medicare PIN