Individual provider Active NPI

Kimberly M Howlett, PSY.D.

  • Clinical Psychologist
  • Draper, UT
National Provider Identifier
1235688847
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37362 Issued in TX
Practice address
138 E 12300 S Ste C-534
Draper, UT 84020-7976
Phone
(385) 202-4079
NPI assigned
Sep 23, 2016
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 37362 TX Primary

Addresses

Primary practice location

138 E 12300 S Ste C-534
Draper, UT 84020-7976

Mailing address

12180 S 300 E Unit 22
Draper, UT 84020-2601
Phone (385) 202-4079

Other practice location 1

13182 S Vista Station Blvd Apt B410
Draper, UT 84020-2379
Phone (385) 202-4079

Other identifiers 1

IdentifierTypeStateIssuer
37362OtherTXLICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37362TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vox Psychotherapy Clinical CurrentSince Aug 30, 2020 Accepting new patients

Locations

138 E 12300 S
Ste C534
Draper, UT 84020
Phone (385) 202-4079

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1235688847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 S 300 E UNIT 22",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202601",
            "telephone_number": "385-202-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E 12300 S STE C-534",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207976",
            "telephone_number": "385-202-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13182 S Vista Station Blvd Apt B410",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840202379",
            "country_code": "US",
            "telephone_number": "385-202-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWLETT",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "37362",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.