Active NPI
Kenneth L. Critchfield II, PH.D.
- Psychologist
- Salt Lake City, UT
National Provider Identifier
1235344763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 349839-2501
- Practice address
- 1399 S 700 E
#9
Salt Lake City, UT 84105-2149 - Phone
- (801) 809-4503
- NPI assigned
- May 10, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 349839-2501 | UT | Primary |
| Clinical Psychologist | 103TC0700X | 349839-2501 | UT |
Addresses
Primary practice location
1399 S 700 E
#9
Salt Lake City, UT 84105-2149
Mailing address
844 E 100 S
Salt Lake City, UT 84102-4109
Phone (801) 809-4503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349839-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1235344763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 E 100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841024109",
"telephone_number": "801-809-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 S 700 E",
"address_2": "#9",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052149",
"telephone_number": "801-809-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITCHFIELD",
"first_name": "KENNETH",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "349839-2501",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "349839-2501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.