MR. KEVIN SCOTT MOCHIZUKI (NPI# 1871679787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871679787 |
| Entity Type | Individual |
| Full Name | MR. KEVIN SCOTT MOCHIZUKI |
| Credential | PH.D. D.ABNM |
| Practice Address |
428 S Douglas St Apt 1 Salt Lake City UT 84102 |
| Mailing Address |
428 S Douglas St Apt 1 Salt Lake City UT 84102-3231 |
| Practice Telephone | 4354140128 |
| Practice Fax Number | 9517424609 |
| Mailing Telephone | 4354140128 |
| Mailing Fax Number | 9517424609 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
4971390-4101 | UT | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
AU2231 | CA | Allopathic & Osteopathic Physicians |
| Y | 231H00000X | Audiologist | 4971390-4101 | UT | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | AU2231 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300015765 | 05 | |
| MN | 1871679787 | 05 | |
| SD | 1871679787 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4 N Laquinta Drive, Saint George, UT 84770 | 4354140128 | 9517424609 |
| 910 E 20th St, Sioux Falls, SD 571051012 | 8558644322 |
| Street Address |
428 S DOUGLAS ST APT 1 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102 |
| 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 | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582719 | Sadie Schilaty | Audiologist | 50 N. Medical Drive, Clinic 9, Salt Lake City, UT 84132-0001 | 2018-06-14 |
| 1255852323 | Fiona Hayes | Audiologist | 1255 E 3900 S Ste 301, Salt Lake City, UT 84124-1417 | 2017-06-29 |
| 1982135984 | University of Utah Adult Services | Audiologist | 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 | 2017-03-22 |
| 1285089623 | Karen Steurer | Audiologist | Audiology Clinic 9, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2016-05-03 |
| 1053609370 | Joshua C Luekenga | Audiologist | 1255 E 3900 S Ste 106c, Salt Lake City, UT 84124-1389 | 2011-07-20 |
| 1972806651 | Leanne M. Norman | Audiologist | 6165 W Pine Valley Ln, Salt Lake City, UT 84118-9340 | 2010-12-17 |
| 1508177635 | Tad S. Bergen | Audiologist | 370 E South Temple Ste 150, Salt Lake City, UT 84111-1279 | 2010-06-23 |
| 1528214087 | Mary Lou Reitz | Audiologist | 560 D St, Salt Lake City, UT 84103-2808 | 2008-08-14 |
| 1497912190 | Jenny Ann Pedersen | Audiologist | 44 N. Mario Capecchi Dr., Salt Lake City, UT 84114 | 2008-05-20 |
| 1427223668 | John Ralph Pater | Audiologist | 2964 W 4700 S, Salt Lake City, UT 84129-2557 | 2008-04-29 |
| 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.