Individual provider Active NPI

Kirk R Dansie, PSY.D., M.S.C.P.

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1821273772
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5412520-2501 Issued in UT
Practice address
3370 Pioneer St
Salt Lake City, UT 84109-3048
Phone
(801) 484-6892
NPI assigned
Jan 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5412520-2501 UT Primary

Addresses

Primary practice location

3370 Pioneer St
Salt Lake City, UT 84109-3048

Mailing address

3370 Pioneer St
Salt Lake City, UT 84109-3048
Phone (801) 484-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20080320000258 UT Practitioner - Clinical Psychologist 3779669452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

3845 W 4700
Taylorsville, UT 84129-3454
Phone (801) 840-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 1, 2006 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 1, 2006 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

6272 S Highland Dr
Murray, UT 84121
Phone (801) 871-6000

3723 W 12600 S
Ste 330
Riverton, UT 84065
Phone (801) 285-4543

5063 S Cottonwood St
Salt Lake City, UT 84107
Phone (801) 507-1800

5770 S 250 E
Ste 170
Salt Lake City, UT 84107
Phone (801) 314-4266

5063 S Cottonwood St
Ste 160
Salt Lake City, UT 84107
Phone (801) 507-1850

324 Tenth Ave
Ste 100
Slc, UT 84103
Phone (801) 408-5735

5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

Organizations & group practices 3

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1821273772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 PIONEER ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093048",
            "telephone_number": "801-484-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 PIONEER ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093048",
            "telephone_number": "801-484-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSIE",
        "first_name": "KIRK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.S.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "5412520-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.