Organization Active NPI

Christoffersen Psychological Services PC

  • Counseling Psychologist
  • St George, UT
National Provider Identifier
1700183704
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7752010-2501 Issued in UT
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Julia Kay ChristoffersenNPI 1649283003
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1649283003MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.