Organization Active NPI

Catharina Kang PC

  • Psychologist
  • Ogden, UT
National Provider Identifier
1386941425
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3539922501 Issued in UT
Legal business name
CATHARINA KANG PC
Practice address
4699 Harrison Blvd
Ste 301
Ogden, UT 84403-4396
Phone
(801) 475-0712
Fax
(801) 475-7139
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Catharina H Kang, PH DNPI 1609927466
Title
Psychologist
Phone
(801) 593-9223

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3539922501 UT Primary

Addresses

Primary practice location

4699 Harrison Blvd
Ste 301
Ogden, UT 84403-4396

Mailing address

PO Box 1529
Layton, UT 84041-6529
Phone (801) 593-9223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000537 UT Part B Supplier - Clinic/Group Practice 5496930307 Receives reassigned benefits from 1 practitioner
Practice locations: South Ogden, UT

National Provider Directory

National Provider Directory

Locations

4699 Harrison Blvd
Ste 301
Ogden, UT 84403
Phone (801) 475-0712

1496 E 5600 S
Ste 4
South Ogden, UT 84403
Phone (435) 512-9912

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1386941425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1529",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416529",
            "telephone_number": "801-593-9223",
            "fax_number": "801-593-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 HARRISON BLVD",
            "address_2": "STE 301",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034396",
            "telephone_number": "801-475-0712",
            "fax_number": "801-475-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHARINA KANG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "CATHARINA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-593-9223",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "3539922501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.