Kate Keller Samson, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

94283162501 Issued in UT

Practice address

1390 S 1100 E
Salt Lake City, UT 84105-2461

Phone

(267) 972-7002

NPI assigned

Oct 7, 2008

Last updated

Jul 21, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801047022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 S 1000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052353",
            "telephone_number": "267-972-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052461",
            "telephone_number": "267-972-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Broad St",
            "address_2": "RM 821",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191021512",
            "country_code": "US",
            "telephone_number": "215-568-0860 x3364",
            "fax_number": "215-568-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "KATE",
        "middle_name": "KELLER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "94283162501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Patrick Sampson, M.D.
• Judith Sawaya Sampson, APRN
• Kathryn Sampson
• Sams West Inc (Sams Pharmacy 10-6686)
• Lisa J Samson-Fang, MD
• Kalyani Samudra, MD
• Anita Mary Samuel, MD, MBA
• Katie Nicole Samuels, PT
• Anna Samuelson
• Kylee Samuelson

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.