NPIMap

Organization Active NPI

Psychological Assessment & Intervention Resources, PC

  • Psychologist
  • South Jordan, UT
National Provider Identifier
1972093789
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10160877-0144 Issued in UT
Legal business name
PSYCHOLOGICAL ASSESSMENT & INTERVENTION RESOURCES, PC
Practice address
922 W Baxter Dr Ste 260
South Jordan, UT 84095-8626
Phone
(801) 822-9542
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Dr. Amanda Rapacz, PSY.D.
Title
Owner
Phone
(801) 822-9542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 10160877-0144 UT Primary

Addresses

Primary practice location

922 W Baxter Dr Ste 260
South Jordan, UT 84095-8626

Mailing address

922 W Baxter Dr Ste 260
South Jordan, UT 84095-8626
Phone (801) 822-9542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1972093789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 W BAXTER DR STE 260",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958626",
            "telephone_number": "801-822-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W BAXTER DR STE 260",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958626",
            "telephone_number": "801-822-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT & INTERVENTION RESOURCES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "RAPACZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-822-9542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "10160877-0144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.