NPIMap

Individual provider Active NPI

Christiane Nicole Paney, PSY.D.

  • Clinical Neuropsychologist
  • Cottonwood Heights, UT
National Provider Identifier
1770137531
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
10595791-2501 Issued in UT
Practice address
7069 S Highland Dr
FL 3
Cottonwood Heights, UT 84121-3724
Phone
(801) 441-0882
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 10595791-2501 UT Primary

Addresses

Primary practice location

7069 S Highland Dr
FL 3
Cottonwood Heights, UT 84121-3724

Mailing address

7069 S Highland Dr
FL 3
Cottonwood Heights, UT 84121-3724
Phone (801) 441-0882

Other identifiers 1

IdentifierTypeStateIssuer
1143611MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drchristianepaney@protonmai..com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10595791-2501UTMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuropsychology & Behavioral Health PastSince Aug 1, 2019 Accepting new patients
House Calls of New Mexico LLC PastSince May 1, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1770137531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7069 S HIGHLAND DR",
            "address_2": "FL 3",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213724",
            "telephone_number": "801-441-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7069 S HIGHLAND DR",
            "address_2": "FL 3",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213724",
            "telephone_number": "801-441-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEY",
        "first_name": "CHRISTIANE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "10595791-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143611",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drchristianepaney@protonmai..com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9525 S Tramway Dr",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840923108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.