Kathy D. Barnett, PHD. LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

212620-2501 Issued in UT

Legal business name

KATHY D. BARNETT, PHD. LLC

Practice address

2040 Murray Holladay Rd
Suite 211
Holladay, UT 84117-5185

Phone

(801) 272-5083

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kathy D. Barnett, PH.D.

Title

Owner/Manager

Phone

(801) 243-2273

Specialties & licenses 8

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johanna F. McManemin, PH.D.

  • Psychologist
  • Salt Lake City, UT
  • NPI 1518087485
  NPD (past)
• Randal Allen Oster, PH.D.

  • Psychologist
  • Salt Lake City, UT
  • NPI 1184650467
  NPD (past)
• Dorothee Lelia Serpas, PH.D.

  • Clinical Neuropsychologist
  • Holladay, UT
  • NPI 1649358201
  NPD (past)
• Carol V. Voorhees, L.C.S.W.

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1295947604
  NPD (past)

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1831425537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17661",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841170661",
            "telephone_number": "801-243-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MURRAY HOLLADAY RD",
            "address_2": "SUITE 211",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175185",
            "telephone_number": "801-272-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY D. BARNETT, PHD. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-243-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "212620-2501",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "212620-2501",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "2126202501",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "UT",
            "license": "212620-2501",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "UT",
            "license": "212620-2501",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "UT",
            "license": "212620-2501",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "UT",
            "license": "212620-2501",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "212620-2501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1710151592",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivana Jourdon
• Juce Services
• K&a Holdings
• Kalani Anderson, LCSW, PLLC
• Girish Kalva, M.D
• Kelley Nicole Keenan
• Joseph Michael Kelly, DPT
• Jacob Kenison
• Kristina A. Kill, D.C.
• Kanon Knaphus, LMT

• Adult Mental Health Clinic/Center in Holladay, UT
• Providers in Holladay, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.