DR AMY LYNN FEHLBERG


Address: 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582
Phone: 4359010759

DR AMY LYNN FEHLBERG (NPI# 1982083440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982083440
Entity Type Organization
Organization Name DR AMY LYNN FEHLBERG
Practice Address 1060 E 100 S
Ste 100
Salt Lake City
UT 84102-1582
Practice Telephone 4359010759
Practice Fax Number 4356088380
Mailing Telephone 4359010759
Mailing Fax Number 4356088380
Enumeration Date 2015-05-29
Last Update Date 2015-05-29
Authorized Official Name DR. AMY FEHLBERG (DIRECTOR)
Authorized Official Telephone 4359010759
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
5291247-2501 UT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 1619108057 05

Office Location

Street Address 1060 E 100 S
STE 100
City SALT LAKE CITY
State UT
Zip Code 84102-1582

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548263213 Lisa Stout Specialist 1060 E 100 S, Ste 110, Salt Lake City, UT 84102-1591 2005-05-24
1336686856 Wasatch Psychological Services, LLC Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2017-01-23
1386042760 John Richard Mcvey Physician Assistant 1060 E 100 S, Suite 110, Salt Lake City, UT 84102-1501 2014-12-16
1275940611 Sunnyside Pediatrics Clinic/Center 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 2014-07-17
1164853651 Garcia Clinical Psychology, LLC Clinic/Center 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2013-12-09
1447522859 Ryan Woodrow Wilkes Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2012-01-31
1912274309 Julia Jacobs Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2011-11-29
1609167899 Ryan Garcia Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2011-04-22
1225333842 Wh-bm Consultant LLC Specialist 1060 E 100 S, L10, Salt Lake City, UT 84102-1501 2011-01-12
1619108057 Amy Lynn Fehlberg Psychologist 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 2009-08-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780230433 Carolynne Elizabeth Baron Psychologist Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 2019-08-16
1083133938 Dio Turner II Psychologist 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 2017-09-12
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1205202355 Laura Rowley Psychologist 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 2015-08-12
1275916223 Amy Bonifay Russell Psychologist 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 2015-07-08
1952710071 The Pearce Institute of Child and Family Psychology, LLC Psychologist 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 2014-08-04
1053728105 Margaret Ruth Moore Psychologist 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 2014-07-21
1316360225 Amanda Lorraine Rapacz Psychologist 239 E Belmont Ave, Salt Lake City, UT 84111-4619 2014-01-28
1134566904 Allison Marie Smith Psychologist 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 2013-06-03
1558611970 New Life Balance, LLC Psychologist 2689 S Highland Dr, Salt Lake City, UT 84106-2774 2012-09-13
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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