Amber Dethlefs, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

14299994-2501 Issued in UT

Practice address

6787 S Redwood Rd Ste 5
West Jordan, UT 84084-2404

Phone

(801) 839-5360

NPI assigned

Jun 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Shuster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Karen Pavlidis PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1417686965
  NPD
• Utah Center for Psychological Services

  • Clinical Psychologist
  • West Jordan, UT
  • NPI 1417659186
  NPD (past)

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1861386369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S WOOD STREAM RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840034303",
            "telephone_number": "330-635-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 S REDWOOD RD STE 5",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842404",
            "telephone_number": "801-839-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETHLEFS",
        "first_name": "AMBER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "14299994-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SHUSTER",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tristen Delgadillo
• Florence Demeyere
• Daniel Dennison
• Madeline Denovellis
• Michael Depola, DPT
• Jeffrey Scott Devaney
• Melannie Carina Diaz-Herrera
• Ambar Diaz
• Bradley William Digney, M.D.
• Nathan Alexander Dinsbach, DDS

• Psychologist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.