Individual provider Active NPI

Kristina Lynne Talbert, PSY. D.

  • Clinical Psychologist
  • South Jordan, UT
National Provider Identifier
1558605360
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8788507-2501 Issued in UT
Practice address
1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519
Phone
(801) 302-3801
Fax
(801) 302-7248
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8788507-2501 UT Primary

Addresses

Primary practice location

1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519

Mailing address

1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519
Phone (801) 302-3801

Other practice location 1

5689 S Redwood Rd Unit 27
Taylorsville, UT 84123-5499
Phone (801) 266-2485

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171208002577 UT Practitioner - Clinical Psychologist 8820355316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Point Counseling Services, LLCGroup PAC ID 0749430650, 11 clinicians

Practice addresses (Care Compare)

1206 W S Jordan Pkwy
Suite D
South Jordan, UT 84095-5519
Phone 8013023801308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8788507-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen W. Malm, PH.D., P.C. CurrentSince Nov 6, 2017 Accepting new patients
South Point Counseling Services, LLC CurrentSince Mar 5, 2018 Accepting new patients
Better Options Counseling PastSince Sep 14, 2025 Accepting new patients

Locations

1206 W South Jordan Pkwy
Ste D
South Jordan, UT 84095
Phone (801) 302-3801

1206 W South Jordan Pkwy
South Jordan, UT 84095
Phone (801) 302-3801

5689 S Redwood Rd
Ste 27
Taylorsville, UT 84123
Phone (801) 266-2485

5689 S Redwood Rd
Unit 27
Taylorsville, UT 84123
Phone (801) 266-2485

Organizations & group practices 3

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1558605360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5689 S Redwood Rd Unit 27",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841235499",
            "country_code": "US",
            "telephone_number": "801-266-2485",
            "fax_number": "866-644-9206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "KRISTINA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "8788507-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.