Kade Martineau

Primary specialty

PsychologistTaxonomy code 103T00000X

License

8686166-2501 Issued in UT

Practice address

940 N 400 E Ste 206
North Salt Lake, UT 84054-1985

Phone

(435) 557-0758

NPI assigned

Apr 27, 2023

Sex

Male

Sole proprietor

No

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Utah Cognitive Behavioral Therapy Clinic, PLLC

  • Psychologist
  • North Salt Lake, UT
  • NPI 1932918182
  NPD Authorized official
• Experience Mental Wellness LLC

  • Psychologist
  • Orem, UT
  • NPI 1598440984
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1558059477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N 400 E STE 206",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N 400 E STE 206",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541985",
            "telephone_number": "435-557-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "KADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "8686166-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Teresa Lopez, LCSW
• Kylie Loporto, BS, DC
• Brielle Nicole Luke, LCSW
• Aubrieanna Bethea Lynch, LCSW
• Blanca Fabiola Madrigal
• Joshua McBride
• Frank P McNeil, RPH
• Miranda McQuarrie, RBT
• MDS Medical Device Specialty, Inc
• Med Quest Pharmacy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.