Organization Active NPI

Dr Amy Fehlberg LLC

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1982083440
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5291247-2501 Issued in UT
Legal business name
DR AMY FEHLBERG LLC
Practice address
275 E South Temple Ste 340
Salt Lake City, UT 84111-1246
Phone
(435) 901-0759
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Dr. Amy FehlbergNPI 1619108057
Title
Director
Phone
(435) 901-0759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5291247-2501 UT Primary

Addresses

Primary practice location

275 E South Temple Ste 340
Salt Lake City, UT 84111-1246

Mailing address

275 E South Temple Ste 340
Salt Lake City, UT 84111-1246
Phone (435) 901-0759

Other identifiers 1

IdentifierTypeStateIssuer
1619108057MedicaidUT

National Provider Directory

National Provider Directory

Locations

275 E South Temple
Ste 340
Salt Lake City, UT 84111
Phone (385) 481-6626

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1982083440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 340",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111246",
            "telephone_number": "435-901-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 340",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111246",
            "telephone_number": "435-901-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMY FEHLBERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "FEHLBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-901-0759",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "5291247-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619108057",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.