Rachel Graham

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1820 Sidewinder Dr Ste 100
Park City, UT 84060-7563

Phone

(435) 658-9998

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1124808597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 E 2940 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092527",
            "telephone_number": "603-630-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SIDEWINDER DR STE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607563",
            "telephone_number": "435-658-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kieran Angelica Glenbockie, MPT
• Global Microsurgical Center of Park City LLC
• Jessica Anne Gomez, RN, MSN
• Jeffrey H Gordon I, DMD
• Robert S Gorelik, LCSW
• Natasha Greene, MD
• Natalie Grevelink, PA-C
• Sonya Grey
• Alexandra Gribbin, P.T., D.P.T
• Matthew Melvin Griffeth, D.M.D.

• School Psychologist in Park City, UT
• Providers in Park City, UT by specialty
• School Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.