Sara Kathleen Christman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11449191-2501 Issued in UT

Practice address

1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519

Phone

(801) 302-3801

NPI assigned

Mar 17, 2020

Last updated

Aug 27, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Mental Performance LLC

  dba NeuStart Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1780166116

  Psychologist

  Medicare reassignment NPD
• Precision Mental Performance LLC

  dba NeuStart Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1316569502

  Psychologist

  NPD (past)
• Precision Mental Performance LLC

  dba NeuStart Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1881348647

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1740816131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "018-302-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "801-302-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAN",
        "first_name": "SARA",
        "middle_name": "KATHLEEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "11449191-2504",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "11449191-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Christensen, LMT, MLD-C
• Kyle S Christensen, D.D.S.
• Lindy Snell Christensen, LCSW
• Michael Rey Christensen, PA
• Todd Lyal Christensen, DMD
• Jordon Kamakilaonalani Ciriako
• City of South Jordan
• City of South Jordan
• Clark Dental P.C.
• Brianna Clark

• Clinical Psychologist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.