Tomohiro Kemmochi, MS, MA, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8520314-2501 Issued in UT

Practice address

5770 S 250 E Ste 475
Murray, UT 84107-8177

Phone

(801) 314-2221

NPI assigned

Sep 16, 2009

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tony Kemmochi Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment
• Center for Human Potential

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1366679441
  NPD
• Ihc Health Services Inc

  dba Dixie Inpatient Psychiatry

  • Psychiatry Physician
  • St George, UT
  • NPI 1386900850
  NPD

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1942533328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 250 E STE 475",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078177",
            "telephone_number": "801-314-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E STE 475",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078177",
            "telephone_number": "801-314-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMOCHI",
        "first_name": "TOMOHIRO",
        "name_prefix": "Dr.",
        "credential": "MS, MA, PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "8520314-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "KEMMOCHI",
            "prefix": "DR.",
            "credential": "MS, MA, PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Keller, R.N.
• Spencer Craig Kelley, PT
• Jessica Kelly
• Kelsey Lee Kelsch, PHARMD
• Megan Kelsch
• Katherine Antonia Kenal, MD
• Scott D Kendell, M.D.
• Shay Kennedy, DPT
• Whitney Kennedy
• Bruce R. Kenwood, DO

• Clinical Psychologist in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.