Individual provider Active NPI

Victor Aaron Kersey, PH.D.

  • Psychologist
  • Orem, UT
National Provider Identifier
1396335162
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1330 S 740 E
Orem, UT 84097-8081
Phone
(801) 272-3420
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1330 S 740 E
Orem, UT 84097-8081

Mailing address

429 W 150 N
Morgan, UT 84050-3800
Phone (385) 259-5811

Other practice location 1

3544 Lincoln Ave Ste A
Ogden, UT 84401-4034
Phone (573) 380-1781

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address victor.kersey@purdueglobal.edu
Direct Messaging Address victor@connectionscs.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling Services PastSince Jan 31, 2021 Accepting new patients
Ogden Center for Change, LLC PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1396335162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W 150 N",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840503800",
            "telephone_number": "385-259-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S 740 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978081",
            "telephone_number": "801-272-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3544 Lincoln Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844014034",
            "country_code": "US",
            "telephone_number": "573-380-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "VICTOR",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victor.kersey@purdueglobal.edu",
            "affiliation": "N",
            "address_1": "3544 Lincoln Ave Ste A",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844014034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victor@connectionscs.com",
            "affiliation": "N",
            "address_1": "1330 S 740 E",
            "city": "Orem",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840978081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.