CHRISTINA MARIE DERBIDGE (NPI# 1023423381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023423381 |
| Entity Type | Individual |
| Full Name | CHRISTINA MARIE DERBIDGE |
| Credential | PHD |
| Practice Address |
30 N 1900 E Room Som 1-b620 Salt Lake City UT 84132-0002 |
| Practice Telephone | 8015816228 |
| Mailing Telephone | 8015816228 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8927950-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
30 N 1900 E ROOM SOM 1-B620 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238219 | Erin R Harward | Genetic Counselor, MS | 30 N 1900 E, Neurology, University of Utah, Salt Lake City, UT 84132-0002 | 2005-10-13 |
| 1962029611 | Alexia Rae Searle | Nurse Practitioner | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-06-29 |
| 1538783055 | Melinda Orr | Nurse Practitioner | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-06-01 |
| 1588286579 | Peter Joel Christiansen | Physician Assistant | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-05-12 |
| 1700415940 | Michael Zou | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-08 |
| 1356970933 | Nathan Davidson | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-05 |
| 1568091478 | Kartemus O'neal Heary | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-02 |
| 1336777432 | Casey Fenger | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-01 |
| 1265060644 | Jeremy Smith | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-03-31 |
| 1396373718 | Campbell Walter Miller | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1083133938 | Dio Turner II | Psychologist | 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 | 2017-09-12 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1205202355 | Laura Rowley | Psychologist | 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 | 2015-08-12 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1952710071 | The Pearce Institute of Child and Family Psychology, LLC | Psychologist | 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 | 2014-08-04 |
| 1053728105 | Margaret Ruth Moore | Psychologist | 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 | 2014-07-21 |
| 1316360225 | Amanda Lorraine Rapacz | Psychologist | 239 E Belmont Ave, Salt Lake City, UT 84111-4619 | 2014-01-28 |
| 1134566904 | Allison Marie Smith | Psychologist | 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 | 2013-06-03 |
| 1558611970 | New Life Balance, LLC | Psychologist | 2689 S Highland Dr, Salt Lake City, UT 84106-2774 | 2012-09-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
Please comment or provide details below to improve the information on CHRISTINA MARIE DERBIDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.