Fenster Corp.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

5075655-2501 Issued in UT

Legal business name

FENSTER CORP.

Practice address

4505 Wasatch Blvd Ste 380
Salt Lake City, UT 84124-4733

Phone

(801) 201-3139

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Michael Fenstermacher, PH.D.NPI 1083178404

Title

President

Phone

(801) 201-3139

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Michael Fenstermacher, PHD

  • Psychologist
  • Millcreek, UT
  • NPI 1083178404
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265592083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 WASATCH BLVD STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244733",
            "telephone_number": "801-201-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 WASATCH BLVD STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244733",
            "telephone_number": "801-201-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENSTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENSTERMACHER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-201-3139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "UT",
            "license": "5075655-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryson Lee Fenimore
• Jordan B. Fenlon, MD
• Luke A. Fenlon, MD
• Prashanth G. Fenn, MD
• Don Fennimore, LPC
• Charles Andrew Fenstermaker, DPT
• Christina K Fenstermaker
• Kimberly Rae Fenstermaker
• Nicole Fenstermaker
• Ashlee Brynn Fenton, FNP

• Clinical Child & Adolescent Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Child & Adolescent Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.