KATHRYN J WADDELL PHD
NPI 1891833257
Clinical Neuropsychologist in Salt Lake City, UT
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kathryn Waddell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84143
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1003931833 (Utah)
- 3,691 clinicians in this Medicare group
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 22 clinicians in this Medicare group
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 254 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SALT LAKE CITY, UT 84143
SALT LAKE CITY, UT 84143
SALT LAKE CITY, UT 84143
SALT LAKE CITY, UT 84143
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 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.
Where is Kathryn Waddell located?
Kathryn Waddell practices at 8th Ave C St, Salt Lake City, UT 84143. The listed phone number is (801) 408-5584.
What is Kathryn Waddell's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Kathryn Waddell enrolled in Medicare?
Yes. Kathryn Waddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kathryn Waddell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Waddell reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Salt Lake City, UT), Center For Human Potential Inc (Salt Lake City, UT) and Physician Group Of Utah Inc (South Jordan, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Waddell accept?
Health plans from Imperial Health Plan of the Southwest, Inc. and Select Health list Kathryn Waddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathryn Waddell was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kathryn J Waddell, PHD · NPI 1891833257
Clinical Neuropsychologist provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1891833257 (Entity type: Individual)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 112725-2501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 8TH AVE C ST, Salt Lake City, UT 84143-0001
- **Phone:** (801) 408-5584
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1376016618, Salt Lake City, UT); Center For Human Potential Inc (NPI 1548239940, Salt Lake City, UT); Physician Group Of Utah Inc (NPI 1477676930, South Jordan, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** March 18, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1891833257) · Data from the CMS NPPES public registry.