Wasatch Psychological Serivces, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WASATCH PSYCHOLOGICAL SERIVCES, PLLC

Practice address

505 E 200 S
Suite 303
Salt Lake City, UT 84102-2090

Phone

(801) 870-0463

Fax

(801) 350-9582

NPI assigned

Oct 4, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kay Jeanne Koellner, PHDNPI 1790896132

Title

Phychologist

Phone

(801) 870-0463

Specialties & licenses 1

Addresses

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.

• Kay Jeanne Koellner, PHD

  • Psychologist
  • Salt Lake City, UT
  • NPI 1790896132
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437244563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 200 S",
            "address_2": "SUITE 303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022090",
            "telephone_number": "801-870-0463",
            "fax_number": "801-350-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 200 S",
            "address_2": "SUITE 303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022090",
            "telephone_number": "801-870-0463",
            "fax_number": "801-350-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PSYCHOLOGICAL SERIVCES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOELLNER",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PHYCHOLOGIST",
        "authorized_official_telephone_number": "801-870-0463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasatch Periodontal Specialists LLC (Wasatch Periodontics)
• Wasatch Physical Therapy & Rehabilitation, Inc
• Wasatch Physical Therapy and Rehabilation Center
• Wasatch Physical Therapy and Rehabilitation, Inc
• Wasatch Primary Care PLLC
• Wasatch Psychological Services, LLC
• Wasatch Sleep Health Center, Inc
• Wasatch Spring LLC
• Wasatch Therapy Group
• Wasatch Urology Associates

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.