Utah Cognitive Behavioral Therapy Clinic, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

UTAH COGNITIVE BEHAVIORAL THERAPY CLINIC, PLLC

Practice address

940 N 400 E Ste 206
North Salt Lake, UT 84054-1985

Phone

(435) 557-0758

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Kade MartineauNPI 1558059477

Title

Psychologist/Owner

Phone

(435) 557-0758

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kade Martineau

  • Psychologist
  • North Salt Lake, UT
  • NPI 1558059477
  NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1932918182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N 400 E STE 206",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N 400 E STE 206",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541985",
            "telephone_number": "435-557-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH COGNITIVE BEHAVIORAL THERAPY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "KADE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "435-557-0758"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.