Active NPI
Alexandra Kolaski Nagle, PHD
- Counseling Psychologist
- Sandy, UT
National Provider Identifier
1295587905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 12925323-2504
- Practice address
- 1596 E Sunrise Meadow Dr
Sandy, UT 84093-2433 - Phone
- (609) 922-8782
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 12925323-2504 | UT | Primary |
Addresses
Primary practice location
1596 E Sunrise Meadow Dr
Sandy, UT 84093-2433
Mailing address
1596 E Sunrise Meadow Dr
Sandy, UT 84093-2433
Phone (609) 922-8782
Other names 1
- Alexandra Zofia Kolaski
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 |
|---|---|---|---|
| 12925323-2504 | UT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1295587905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1596 E SUNRISE MEADOW DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840932433",
"telephone_number": "609-922-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1596 E SUNRISE MEADOW DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840932433",
"telephone_number": "609-922-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "ALEXANDRA",
"middle_name": "KOLASKI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "12925323-2504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "KOLASKI",
"middle_name": "ZOFIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.