Dorothee Lelia Serpas, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

345818-2501 Issued in UT

Practice address

2040 Murray Holladay Rd
Suite 211
Holladay, UT 84117-5185

Phone

(801) 272-5083

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Kathy D. Barnett, PHD. LLC

  • Adult Mental Health Clinic/Center
  • Holladay, UT
  • NPI 1831425537
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1649358201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 CLIFF SIDE CT",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840947242",
            "telephone_number": "801-272-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MURRAY HOLLADAY RD",
            "address_2": "SUITE 211",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175185",
            "telephone_number": "801-272-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPAS",
        "first_name": "DOROTHEE",
        "middle_name": "LELIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "345818-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "475451",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lyn Schlentz, APRN
• Richard S Schneiman, PHD
• Rehna Schuyler, LMFT
• Mark G Schwei, MD
• Gina Gammon Searle, MA
• Seth Knight MD LLC
• Sheetal Shah, MD
• Olesya Shcheglovitova, RPH
• Signature Utah Dental Partners PC
• James Silvestri, MSW, CSW

• Clinical Neuropsychologist in Holladay, UT
• Providers in Holladay, UT by specialty
• Clinical Neuropsychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.