Kirt Cundick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5545558-2501 Issued in UT

Practice address

1454 N Hill Field Rd Ste 3
Layton, UT 84041-5061

Phone

(801) 784-6894

Fax

(866) 288-9097

NPI assigned

Apr 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians

Great Salt Lake Wellness IncGroup PAC ID 4789985680, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Great Salt Lake Wellness Inc

  • Clinical Psychologist
  • Kaysville, UT
  • NPI 1790152940
  Medicare reassignment Care Compare group NPD
• Numinus Wellness Ut Inc

  • Psychiatry Physician
  • Springville, UT
  • NPI 1265092282
  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Moab Valley Healthcare, Inc

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236
  Medicare reassignment NPD
• Ihc Health Services Inc

  • Family Medicine Physician
  • Richfield, UT
  • NPI 1265576326
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Moab Valley Healthcare, Inc.

  • Community/Retail Pharmacy
  • Moab, UT
  • NPI 1235918962
  NPD
• Dignity Home Health of Utah

  • Home Health Agency
  • American Fork, UT
  • NPI 1346542453
  NPD (past)
• Ogden Internal Medicine & Urology LLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1003001553
  NPD (past)

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1629395181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 N HILL FIELD RD STE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415061",
            "telephone_number": "801-784-6894",
            "fax_number": "866-288-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 N HILL FIELD RD STE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415061",
            "telephone_number": "801-784-6894",
            "fax_number": "866-288-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDICK",
        "first_name": "KIRT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "5545558-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirt.cundick@direct.imail.org",
            "affiliation": "N",
            "address_1": "1454 N Hill Field Rd Ste 3",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840415061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kasey Cullimore
• Shea Cullimore
• Daniel Culmer
• Cheyanne Jane Cummings
• Dakota Cummings
• Nichole Cunha, LCSW
• Joslin Cunningham
• Mackenzie Cunningham
• Isaac Curtis, MSW
• Joshua Custer

• Clinical Psychologist in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.