Organization Active NPI

Advanced Psychological Services

  • Psychologist
  • Sandy, UT
National Provider Identifier
1306119441
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5080319-2501 Issued in UT
Legal business name
ADVANCED PSYCHOLOGICAL SERVICES
Practice address
9140 S State St
101B
Sandy, UT 84070-2684
Phone
(801) 838-7606
Fax
(801) 838-7607
NPI assigned
Feb 21, 2012
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Karen Checketts, PH.D.NPI 1114336617
Title
Licensed Psychologist
Phone
(801) 520-4917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5080319-2501 UT Primary

Addresses

Primary practice location

9140 S State St
101B
Sandy, UT 84070-2684

Mailing address

180 Albion Village Way
#303
Sandy, UT 84070-5601
Phone (801) 838-7606

National Provider Directory

National Provider Directory

Locations

9140 S State St
Ste 101B
Sandy, UT 84070
Phone (801) 838-7606

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1306119441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ALBION VILLAGE WAY",
            "address_2": "#303",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705601",
            "telephone_number": "801-838-7606",
            "fax_number": "801-838-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 S STATE ST",
            "address_2": "101B",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702684",
            "telephone_number": "801-838-7606",
            "fax_number": "801-838-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "CHECKETTS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-520-4917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "5080319-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2012; 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.