Individual provider Active NPI

Chris K Wehl, PH.D.

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1184619561
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
115392 - 2501 Issued in UT
Practice address
1263 E South Temple Apt 9
Salt Lake City, UT 84102-1721
Phone
(801) 350-0115
NPI assigned
Sep 13, 2005
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 115392 - 2501 UT Primary

Addresses

Primary practice location

1263 E South Temple Apt 9
Salt Lake City, UT 84102-1721

Mailing address

864 Windsor LN
Bountiful, UT 84010-4400
Phone (801) 864-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000132 UT Practitioner - Clinical Psychologist 8628062684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1263 E S Temple
Apt 9
Salt Lake City, UT 84102-1721
Phone (801) 350-0115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
115392 - 2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Wehl, PH.D., Inc. Clinical CurrentSince Oct 28, 2012 Accepting new patients

Locations

265 E 100 S
Ste 275
Salt Lake City, UT 84111
Phone (801) 484-6149

505 E 200 S
#303
Salt Lake City, UT 84102
Phone (801) 350-0117

505 E 200 S
Ste 303
Salt Lake City, UT 84102
Phone (801) 350-0116

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1184619561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 WINDSOR LN",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104400",
            "telephone_number": "801-864-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 E SOUTH TEMPLE APT 9",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021721",
            "telephone_number": "801-350-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHL",
        "first_name": "CHRIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "115392 - 2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.