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KELLY KONOPACKI PHD
NPI 1912362591
Clinical Neuropsychologist in Salt Lake City, UT

Active since December 23, 2015
500 FOOTHILL DR BLDG 3, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2022, Nov 17, 2021, Jul 18, 2018 and 1 more (4 updates tracked since 2015).

About Kelly Konopacki Phd NPPES

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

KELLY KONOPACKI PHD (NPI 1912362591) is an individual clinical neuropsychologist in Salt Lake City, Utah, licensed in Utah (10299168-2501) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1912362591
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKELLY KONOPACKICredential: PHD
Location Address500 FOOTHILL DR BLDG 3Salt Lake City, UT 84148-0001
Mailing Address689 N Eastcapitol StSalt Lake City, UT 84103-2188 · (650) 739-5434
Phone(801) 582-1565
Sole ProprietorYes
Enumeration DateDecember 23, 2015
Last NPPES UpdateDecember 13, 20224 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1912362591 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 · 10299168-2501
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.

500 FOOTHILL DR BLDG 3, Salt Lake City, UT 84148
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is Kelly Konopacki's NPI number?

The NPI number assigned to this healthcare provider is 1912362591, enumerated as an "individual" on December 23, 2015.

Where is the provider located?

The provider is located at 500 FOOTHILL DR BLDG 3 SALT LAKE CITY, UT 84148 and the phone number is (801) 582-1565.

What is the provider's specialty?

Clinical Neuropsychologist with taxonomy code 103G00000X.