DR. KATHERINE THOMAS FORTENBERRY PH.D.
NPI 1982902185
Psychologist - Clinical in Salt Lake City, UT
About Dr. Katherine Thomas Fortenberry Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHERINE THOMAS FORTENBERRY PH.D. (NPI 1982902185) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (8106647-2501) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Katherine Thomas Fortenberry Ph.d. 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
4Medicare enrollment records show Katherine Fortenberry reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84112
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 144 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84108
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 Katherine Fortenberry's NPI number?
The NPI number for Katherine Fortenberry is 1982902185. It was assigned to this individual provider in the NPPES registry on March 11, 2011.
Where is Katherine Fortenberry located?
Katherine Fortenberry practices at 375 Chipeta Way Suite A, Salt Lake City, UT 84108. The listed phone number is (801) 587-3379.
What is Katherine Fortenberry's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Katherine Fortenberry enrolled in Medicare?
Yes. Katherine Fortenberry 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 Katherine Fortenberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Fortenberry reassigns Medicare benefits to 4 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT), University Of Utah Community Physicians Group (Salt Lake City, UT) and University Of Utah (Salt Lake City, 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 Katherine Fortenberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Fortenberry accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Katherine Fortenberry 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 Katherine Fortenberry was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Katherine Thomas Fortenberry, PH.D. · NPI 1982902185
Clinical provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 11, 2011.
## Identity
- **NPI:** 1982902185 (Entity type: Individual)
- **Enumerated:** March 11, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 8106647-2501 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 375 CHIPETA WAY, SUITE A, Salt Lake City, UT 84108-1260
- **Phone:** (801) 587-3379
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Utah Behavioral Health Services (NPI 1972901940, Salt Lake City, UT); University Of Utah Adult Services (NPI 1982135984, Salt Lake City, UT); University Of Utah Community Physicians Group (NPI 1912301615, Salt Lake City, UT); University Of Utah (NPI 1588656870, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1982902185) · Data from the CMS NPPES public registry.