KATRINA KWAN (NPI# 1760727580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760727580 |
Entity Type | Individual |
Full Name | KATRINA KWAN |
Credential | PSYD |
Practice Address |
5171 S Cottonwood St Ste 810 Murray UT 84107-5704 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 8015079800 |
Mailing Telephone | 8015079800 |
Enumeration Date | 2012-12-05 |
Last Update Date | 2020-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 8399166-2501 | UT | Behavioral Health & Social Service Providers |
Street Address |
5171 S COTTONWOOD ST STE 810 |
City | MURRAY |
State | UT |
Zip Code | 84107-5704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780201293 | Heather Patricia Nick | Genetic Counselor, MS | 5171 S Cottonwood St, Murray, UT 84107-5704 | 2020-06-30 |
1245743640 | Brigid A O'donnell | Nurse Practitioner | 5171 S Cottonwood St, Murray, UT 84107 | 2017-11-08 |
1568917664 | Amanda Peterson | Occupational Therapist | 5171 S Cottonwood St, Lower Level 2 Women's Center Coordinated Rehab Services, Murray, UT 84107-5704 | 2016-08-18 |
1336590595 | Kassie Burton | Nurse Practitioner | 5171 S Cottonwood St, Ste 740, Murray, UT 84107-5704 | 2016-06-28 |
1548636848 | Amy Berrigan | Nurse Practitioner | 5171 S Cottonwood St, Suite 740, Murray, UT 84107-5704 | 2015-08-20 |
1487042065 | Kimberly Chesney Redford | Audiologist | 5171 S Cottonwood St, Suite 140, Murray, UT 84107-5704 | 2015-01-05 |
1881007508 | Janelle Hayes | Physical Therapist | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 | 2014-06-10 |
1316373087 | Ihc Health Services Inc | Internal Medicine | 5171 S Cottonwood St, Ste 350, Murray, UT 84107-5733 | 2013-09-25 |
1376976381 | Laura K Heermann Langford | Registered Nurse | 5171 S Cottonwood St, Suite 220, Murray, UT 84107-5704 | 2013-08-13 |
1023459393 | Rachelle Jelosek | Nurse Practitioner | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 | 2013-07-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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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 |
---|---|---|---|---|
1215239348 | Jon Leroy Pertab | Clinical Neuropsychologist | 5171 South Cottonwood St Suite 810, Neurosciences Institute, Murray, UT 84107 | 2010-11-22 |
1215582028 | Samantha Allison | Clinical Neuropsychologist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
1497254304 | Ctr Supports | Clinical Neuropsychologist | 10182 S Campden Ct, South Jordan, UT 84009-7109 | 2018-02-06 |
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 |
1366719601 | Joann T. Tschanz | Clinical Neuropsychologist | 2810 Old Main Hill, Utah State University, Logan, UT 84322-2810 | 2011-11-30 |
1649567728 | Grace Macdowell | Clinical Neuropsychologist | 11762 S State St Ste 160, Draper, UT 84020-7174 | 2011-07-08 |
1619287208 | Lisa Michelle Sugerman | Clinical Neuropsychologist | 389 W 10000 S Ste A, South Jordan, UT 84095-4104 | 2010-10-15 |
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 |
1730301474 | Beverly O'connor | Clinical Neuropsychologist | 533 26th St, Suite 100, Ogden, UT 84401-2465 | 2007-05-03 |
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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.