DR. KELLY D GARRETT (NPI# 1245251776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245251776 |
Entity Type | Individual |
Full Name | DR. KELLY D GARRETT |
Credential | PHD |
Practice Address |
333 South 900 East Salt Lake City UT 84102-2310 |
Practice Telephone | 8015358163 |
Practice Fax Number | 8013554011 |
Mailing Telephone | 8015358163 |
Mailing Fax Number | 8013554011 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2012-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 52141022501 | UT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700360948 | Kelly Garrett | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-09-24 |
1538612767 | Kelly Garrett | Counselor | 7415 Ne 94th Ave, Vancouver, WA 98662-3859 | 2016-07-23 |
1174904973 | Kelly Jean Garrett | Veterinarian | 29 Franklin St, Newburyport, MA 01950-3013 | 2015-06-17 |
1487059267 | Kelly Garrett | Registered Nurse | 5954 Longford Rd, Huber Heights, OH 45424-2943 | 2014-10-23 |
1366760613 | Kelly Jo Garrett | Radiology Practitioner Assistant | 500 Medical Center Blvd, Radiology, Webster, TX 77598-4220 | 2010-05-11 |
1225203664 | Kelly Anne Garrett | Colon & Rectal Surgery | 1315 York Ave, 2nd Floor, New York, NY 10021-5304 | 2008-04-28 |
Street Address |
333 SOUTH 900 EAST |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-2310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770954356 | Erin Elizabeth Krauskopf | Clinical Neuropsychologist | 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 | 2015-10-08 |
1528469947 | Jordan Harris Rigby | Clinical Neuropsychologist | 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 | 2014-09-05 |
1154565729 | Keith Mcgoldrick | Clinical Neuropsychologist | 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 | 2009-04-27 |
1356593297 | Dustin Bradshaw Hammers | Clinical Neuropsychologist | 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 | 2008-10-22 |
1770612863 | Elaine Clark | Clinical Neuropsychologist | 501 Chipita Way, Univ of Utah Neuropsychiatric Institute, Salt Lake City, UT 84108 | 2007-03-05 |
1831150374 | Juan A. Mejia | Clinical Neuropsychologist | 327 Denver St, Salt Lake City, UT 84111-3002 | 2006-03-31 |
1295720969 | Kevin Duff | Clinical Neuropsychologist | 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 | 2005-09-19 |
1518453406 | Joseph Un Kim | Clinical Neuropsychologist | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2018-07-03 |
1912362591 | Kelly Konopacki | Clinical Neuropsychologist | 501 Chipeta Way, Salt Lake City, UT 84108 | 2015-12-23 |
1922394220 | Jeremy J Davis | Clinical Neuropsychologist | 30 N 1900 E, 1r55, Salt Lake City, UT 84132-0002 | 2011-06-24 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84102 |
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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.