Active NPI
Christoffersen Psychological Services PC
- Counseling Psychologist
- St George, UT
National Provider Identifier
1700183704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7752010-2501
- Legal business name
- CHRISTOFFERSEN PSYCHOLOGICAL SERVICES PC
- Practice address
- 437 S Bluff St Ste 202
St George, UT 84770-3555 - Phone
- (435) 272-2861
- Fax
- (435) 674-9380
- NPI assigned
- Feb 28, 2011
- Last updated
- May 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julia Kay Christoffersen
- Title
- Sole Owner
- Phone
- (435) 272-2861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 7752010-2501 | UT | Primary |
Addresses
Primary practice location
437 S Bluff St Ste 202
St George, UT 84770-3555
Mailing address
3764 Holland Cir
Santa Clara, UT 84765-5377
Phone (435) 272-2861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649283003 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counseling Psychologist
- St George, UT
- NPI 1649283003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304899200000",
"number": "1700183704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3764 HOLLAND CIR",
"city": "SANTA CLARA",
"state": "UT",
"postal_code": "847655377",
"telephone_number": "435-272-2861",
"fax_number": "435-275-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 S BLUFF ST STE 202",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703555",
"telephone_number": "435-272-2861",
"fax_number": "435-674-9380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOFFERSEN PSYCHOLOGICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-28",
"last_updated": "2011-05-09",
"status": "A",
"authorized_official_last_name": "CHRISTOFFERSEN",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "435-272-2861",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "7752010-2501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649283003",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.