PAMELA A CORNEJO (NPI# 1033666979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033666979 |
| Entity Type | Individual |
| Full Name | PAMELA A CORNEJO |
| Practice Address |
350 S 400 E Salt Lake City UT 84111-2905 |
| Practice Telephone | 8015825534 |
| Mailing Telephone | 8015825534 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
350 S 400 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507593 | Asia Rose Hulse | Student in an Organized Health Care Education/Training Program | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2020-08-06 |
| 1366052052 | Jerrica L Pitzen | Student in an Organized Health Care Education/Training Program | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2020-08-06 |
| 1649880410 | Elizabeth Ann Fuss | Student in an Organized Health Care Education/Training Program | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2020-08-05 |
| 1659908762 | Meghan Durham Wall | Speech-Language Pathologist | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2020-03-26 |
| 1912547191 | Deojuvanteh Tso | Student in an Organized Health Care Education/Training Program | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2020-01-15 |
| 1235785452 | Jacob Brushaber-drockton | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2019-08-13 |
| 1497300248 | Samantha Leigh Smith | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2019-08-08 |
| 1376044099 | Samantha Michelle Small | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2018-02-27 |
| 1336657394 | Sasha Erin Nash | Social Worker | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2018-01-11 |
| 1326558271 | Liliana Jiminez | Counselor | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2017-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857026 | Adam Hanley | Psychologist | 395 S 1500 E, Salt Lake City, UT 84112-8909 | 2020-09-28 |
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1184199721 | Aharon D. Shulimson, Ph.d. | Psychologist | 1111 E Brickyard Rd Ste 205, Salt Lake City, UT 84106-2571 | 2018-10-10 |
| 1437666054 | Novum Psychotherapy, PC | Psychologist | 275 E South Temple Ste 150, Salt Lake City, UT 84111-1270 | 2018-01-04 |
| 1952812414 | Lauren Michele Weitzman | Psychologist | 24 S 1100 E Ste 303, Salt Lake City, UT 84102-4307 | 2017-10-23 |
| 1326565300 | James Knorr | Psychologist | 7069 S Highland Dr Ste 5, Salt Lake City, UT 84121-3724 | 2017-08-29 |
| 1043735418 | Christopher M Davids | Psychologist | 439 E 900 S Fl 2, Salt Lake City, UT 84111-4303 | 2017-08-07 |
| 1710416037 | Lori Lynn Dekeyzer | Psychologist | 4568 S Highland Dr Ste 200, Salt Lake City, UT 84117-4235 | 2017-06-08 |
| 1285178459 | Mountain West Evaluation & Therapy Services | Psychologist | 3344 S 1885 E, Salt Lake City, UT 84106-3942 | 2016-12-07 |
| 1194270876 | Gita Rakhsha, Ph.d. LLC | Psychologist | 2046 E Murray Holladay Rd Ste 103, Salt Lake City, UT 84117-5175 | 2016-08-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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| 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.