KATHRYN J WADDELL PHD
NPI 1891833257
Clinical Neuropsychologist in Salt Lake City, UT

Q: What is Kathryn Waddell's NPI number?

The NPI number for Kathryn Waddell is 1891833257. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Kathryn Waddell's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Waddell was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment

8TH AVE C ST, SALT LAKE CITY, UT 84143(801) 408-5584 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kathryn J Waddell Phd NPPES

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

KATHRYN J WADDELL PHD (NPI 1891833257) is an individual clinical neuropsychologist in Salt Lake City, Utah, licensed in Utah (112725-2501) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1891833257

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameKATHRYN J WADDELLCredential: PHD

Location Address8TH AVE C STSalt Lake City, UT 84143-0001

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 442-4950

Phone(801) 408-5584

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateFebruary 1, 2007

Last NPPES UpdateMarch 18, 2008

✔ NPI 1891833257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in UT · 112725-2501

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

8TH AVE C ST, Salt Lake City, UT 84143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn J Waddell Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022079482

PECOS Enrollment IDI20041020000394

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.

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