Hannah Muetzelfeld, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11900527-2501 Issued in UT

Practice address

987 Chatham Dr
North Salt Lake, UT 84054-6121

Phone

(404) 247-7558

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Buffalo Run Psychological Services, PLLC

  • Adult Mental Health Clinic/Center
  • North Salt Lake, UT
  • NPI 1013615848
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1609609445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 CHATHAM DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546121",
            "telephone_number": "404-247-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 CHATHAM DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546121",
            "telephone_number": "404-247-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUETZELFELD",
        "first_name": "HANNAH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "11900527-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Mortensen, COTA
• Mountain View Pediatric Dentistry of North Salt Lake PC
• Tufan Nasir
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• Amy Marie Nielsen, MOTR
• Jared Nielsen, PA-C
• Betty Celestial Niutupuivaha, LCSW

• 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 Aug 26, 2024; 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.