MARIA KLEINSTAEUBER PHD
NPI 1164301610
Psychologist in Logan, UT

Active since August 28, 2025PECOS Enrolled
6405 OLD MAIN HILL, LOGAN, UT 84322(435) 797-4200(844) 308-5865 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maria Kleinstaeuber Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA KLEINSTAEUBER PHD (NPI 1164301610) is an individual psychologist in Logan, Utah, licensed in Utah (14188904-2501) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164301610
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARIA KLEINSTAEUBERCredential: PHD
Location Address6405 OLD MAIN HILLLogan, UT 84322-6405
Mailing Address351 E 600 SRiver Heights, UT 84321-5523 · (801) 357-9113
Fax(844) 308-5865
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1164301610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in UT · 14188904-2501
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6405 OLD MAIN HILL, Logan, UT 84322

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maria Kleinstaeuber Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254838972
PECOS Enrollment IDI20251008003825, I20260513002177
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6405 OLD MAIN HILL
LOGAN, UT 84322
Behavior Technician
6405 OLD MAIN HILL
LOGAN, UT 84322
Counselor (Mental Health)
6405 OLD MAIN HILL
LOGAN, UT 84322
Psychologist (Clinical Child & Adolescent)
6405 OLD MAIN HILL
LOGAN, UT 84322
Marriage & Family Therapist
6405 OLD MAIN HILL
LOGAN, UT 84322
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6405 OLD MAIN HILL
LOGAN, UT 84322
Behavior Technician
6405 OLD MAIN HILL
LOGAN, UT 84322
Behavior Analyst
6405 OLD MAIN HILL
LOGAN, UT 84322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Kleinstaeuber's NPI number?

The NPI number for Maria Kleinstaeuber is 1164301610. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Maria Kleinstaeuber located?

Maria Kleinstaeuber practices at 6405 Old Main Hill, Logan, UT 84322. The listed phone number is (435) 797-4200.

What is Maria Kleinstaeuber's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Maria Kleinstaeuber enrolled in Medicare?

Yes. Maria Kleinstaeuber is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maria Kleinstaeuber was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.