DR. KENNETH NEWELL (NPI# 1962054775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962054775 |
| Entity Type | Individual |
| Full Name | DR. KENNETH NEWELL |
| Practice Address |
640 S 1200 W Orem UT 84058-5972 |
| Mailing Address |
1596 W 1200 S Springville UT 84663-5075 |
| Practice Telephone | 8013721419 |
| Mailing Telephone | 8016692356 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
368821-3902 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447292529 | Kenneth A Newell | Surgery | 101 Woodruff Circle, Wmb Rm 5105, Atlanta, GA 30322 | 2006-06-12 |
| Street Address |
640 S 1200 W |
| City | OREM |
| State | UT |
| Zip Code | 84058-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151033 | Casadee Yvonne Hudson | Psychologist | 2600 N Main St Ste 200, North Logan, UT 84341-1510 | 2019-08-30 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1003323767 | Pure Life Ptg | Psychologist | 7390 S Creek Rd Ste 202, Sandy, UT 84093-6123 | 2018-01-03 |
| 1508211285 | Andrea Lindsay-shaffer | Psychologist | 1630 E Edgecliff Dr, Sandy, UT 84092-4309 | 2016-04-29 |
| 1265899009 | Silver Peak Medical LLC | Psychologist | 1817 S Main St Ste 8, Salt Lake City, UT 84115-7060 | 2016-01-25 |
| 1770502379 | Mark D. Worthen | Psychologist | 1182 Center Dr Ste D160, Park City, UT 84098-1287 | 2006-07-18 |
| 1134586654 | Randy K Moss | Psychologist | 447 N 300 W, Kaysville, UT 84037-4203 | 2016-01-28 |
| 1417321803 | Brighton Medical Group | Psychologist | 1275 E Fort Union Blvd, Suite 202, Cottonwood Heights, UT 84047-1895 | 2015-11-23 |
| 1346670221 | Sadie Alexandra Young | Psychologist | 344 East 100 South, Ste 301, Salt Lake City, UT 84111 | 2013-11-14 |
| 1194070276 | University of Utah | Psychologist | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
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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.