KATHLEEN GRIFFIN PSYD
NPI 1477068625
Psychologist in Provo, UT

Active since December 11, 2017PECOS Enrolled
1300 E CENTER ST, PROVO, UT 84606(801) 344-4400 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Griffin Psyd NPPES

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

KATHLEEN GRIFFIN PSYD (NPI 1477068625) is an individual psychologist in Provo, Utah and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477068625
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHLEEN GRIFFINCredential: PSYD
Location Address1300 E CENTER STProvo, UT 84606-3554
Mailing AddressPo Box 270Provo, UT 84603-0270 · (801) 344-4400
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 11, 2017
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1477068625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
1300 E CENTER ST, Provo, UT 84606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Griffin Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022590298
PECOS Enrollment IDI20260305003571
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.

Recreation Therapist
1300 E CENTER ST
PROVO, UT 84606
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Psychiatry & Neurology (Forensic Psychiatry)
1300 E CENTER ST
PROVO, UT 84606
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Psychiatric Hospital
1300 E CENTER ST
PROVO, UT 84606
Student in an Organized Health Care Education/Training Program
1300 E CENTER ST
PROVO, UT 84606
Counselor
1300 E CENTER ST
PROVO, UT 84606
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606

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 Kathleen Griffin's NPI number?

The NPI number for Kathleen Griffin is 1477068625. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Kathleen Griffin located?

Kathleen Griffin practices at 1300 E Center St, Provo, UT 84606. The listed phone number is (801) 344-4400.

What is Kathleen Griffin's specialty?

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

Is Kathleen Griffin enrolled in Medicare?

Yes. Kathleen Griffin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Griffin was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.