Kevin Okeefe, PSY.D.
Individual provider Active NPI Clinical Psychologist · Santa Clara, UT
NPI 1043461031 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1043461031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 57695092504 (UT)
- Practice address
- 2711 Santa Clara Dr
Santa Clara, UT 84765-5466 - Phone
- (801) 319-6799
- Fax
- (801) 406-0241
- NPI assigned
- Oct 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57695092504 | UT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 57695092504 | UT | Yes |
Addresses
Primary practice location
2711 Santa Clara Dr
Santa Clara, UT 84765-5466
Mailing address
545 Country LN
Santa Clara, UT 84765-5490
Phone (801) 319-6799
Other providers in Santa Clara, UT
- Jonathan J Kolon
- Paul Martz
- Nathan Seth Moore
- Chelsie Renee Newkirk
- Whittnee Kulanakea Nihipali
- Jenna M Pacelli
- Possibilities ABA Utah LLC
- Elinor Priest
- Jacob Lamar Pugh
- Bethany Quigley
All providers in Santa Clara, UT · Clinical Psychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.