Kirsten Leigh Graham, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11486546-2501 Issued in UT

Practice address

351 W University Blvdgeneral Classrooms 308-O
General Classrooms 308-O
Cedar City, UT 84720

Phone

(435) 277-0285

NPI assigned

May 11, 2020

Last updated

May 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Aging Clinic of Southern Utah PLLC

  • Psychologist
  • Cedar City, UT
  • NPI 1043091960
  Medicare reassignment NPD Authorized official
• Evergreen Psychological Services LLC

  • Psychologist
  • Fort Collins, CO
  • NPI 1861310724
  NPD (past) Authorized official

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1376165530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W UNIVERSITY BLVDGENERAL CLASSROOMS 308-O",
            "address_2": "GENERAL CLASSROOMS 308-O",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-865-8446",
            "fax_number": "435-865-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W UNIVERSITY BLVDGENERAL CLASSROOMS 308-O",
            "address_2": "GENERAL CLASSROOMS 308-O",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-277-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KIRSTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "11486546-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Leanna Goodman, L.C.S.W.
• Paige Goodwin, DPT
• Tyler Grant Gorham, RBT
• Burgundy Grafelman
• Miles Graff
• Brittney Lee Grant
• Jarid D Gray, M.D.
• Green Haven Management (Beehive Homes of Cedar City)
• Jared A Green, PA-C
• Daniel Dale Greene, PA-C

• Clinical Psychologist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.