Abigail Lauren Jenkins, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9166547 Issued in UT

Practice address

588 N Rolling Hills Dr
Heber City, UT 84032-1360

Phone

(608) 217-2534

NPI assigned

May 3, 2011

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

Other names 1

• Dr. Abby Jenkins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1881986305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 N ROLLING HILLS DR",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321360",
            "telephone_number": "608-217-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 N ROLLING HILLS DR",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321360",
            "telephone_number": "608-217-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ABIGAIL",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2021-09-08",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "9166547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "JENKINS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chaoyu Irvin
• Autumn M Iverson
• Spencer Jacobson, DMD
• Jared R Brown DMD Ms PC
• Kelly B Jarvis Sr., D.C.
• Estefanya Yuritza Jenson
• Jerold R Sorensen DDS a Professional Corporation
• Matthew M Jimenez, ACMHC
• Annette Isom Johnson, CNM
• Cameron W Johnson, PHARMD

• Clinical Psychologist in Heber City, UT
• Providers in Heber City, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.