Individual provider Active NPI

Vinessa Kaye Trotter, PH.D.

  • Clinical Psychologist
  • Draper, UT
National Provider Identifier
1952553794
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7083777-2501 Issued in UT
Practice address
14425 S Bitterbrush LN
Draper, UT 84020-9501
Phone
(801) 576-7250
Fax
(801) 576-7268
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7083777-2501 UT Primary

Addresses

Primary practice location

14425 S Bitterbrush LN
Draper, UT 84020-9501

Mailing address

14425 S Bitterbrush LN
P.O. Box 250
Draper, UT 84020-9501
Phone (801) 576-7250

Other identifiers 1

IdentifierTypeStateIssuer
U000073243OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7083777-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherds Staff Christian Counseling Center Inc Clinical PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1952553794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 S BITTERBRUSH LN",
            "address_2": "P.O. BOX 250",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501",
            "telephone_number": "801-576-7250",
            "fax_number": "801-576-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 S BITTERBRUSH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501",
            "telephone_number": "801-576-7250",
            "fax_number": "801-576-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "VINESSA",
        "middle_name": "KAYE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "7083777-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U000073243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.