Organization Active NPI

Kimberly O. Sieber, PH.D., PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
National Provider Identifier
1982998753
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
376648-2501 Issued in UT
Legal business name
KIMBERLY O. SIEBER, PH.D., PLLC
Practice address
5005 S 900 E
#120
Salt Lake City, UT 84117-5788
Phone
(801) 792-1466
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Dr. Kimberly O. Sieber, PH.D.
Title
Owner/Manager
Phone
(801) 792-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 376648-2501 UT Primary

Addresses

Primary practice location

5005 S 900 E
#120
Salt Lake City, UT 84117-5788

Mailing address

PO Box 95847
South Jordan, UT 84095-0847
Phone (801) 792-1466

Other identifiers 1

IdentifierTypeStateIssuer
1235162785OtherNPI

National Provider Directory

National Provider Directory

Locations

3980 S 700 E
Ste 24
Salt Lake City, UT 84107
Phone (888) 562-0488

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1982998753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95847",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950847",
            "telephone_number": "801-792-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S 900 E",
            "address_2": "#120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175788",
            "telephone_number": "801-792-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY O. SIEBER, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "SIEBER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-792-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "376648-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235162785",
            "state": null
        }
    ],
    "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 8, 2011; 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.