DR. KATHERINE THOMAS FORTENBERRY PH.D.
NPI 1982902185
Psychologist - Clinical in Salt Lake City, UT

Active since March 11, 2011PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
375 CHIPETA WAY, SUITE A, SALT LAKE CITY, UT 84108(801) 587-3379 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1982902185
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHERINE THOMAS FORTENBERRYCredential: PH.D.
Location Address375 CHIPETA WAY, SUITE ASalt Lake City, UT 84108-1260
Mailing Address375 Chipeta Way, Suite ASalt Lake City, UT 84108-1260 · (801) 587-3379
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 11, 2011
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
NPI 1982902185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in UT · 8106647-2501 Licensed in MS · 50871
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 50871 (MS), 8106647-2501 (UT)
375 CHIPETA WAY, Salt Lake City, UT 84108

Accepted 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

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.

PECOS PAC ID5496915787
PECOS Enrollment IDI20120323000225
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.

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.

Treatment of behavior impacting health in group setting, each additional 30 minutes 96165
This treatment involves group sessions aimed at addressing behaviors impacting health. Each additional half-hour allows for deeper exploration of these behaviors and learning new strategies for change. It's a supportive environment for shared learning and growth.
189 services14 patients
Treatment of behavior impacting health in group setting, initial 30 minutes 96164
This is a group therapy session focusing on behaviors that affect health. In the initial 30 minutes, individuals share experiences and learn strategies to manage these behaviors. It's a supportive, confidential environment for personal growth and change.
48 services14 patients

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.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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.

Psychologist (Clinical)
375 CHIPETA WAY, SUITE A
SALT LAKE CITY, UT 84108
Family Medicine
375 CHIPETA WAY, UNIVERSITY OF UTAH FAMILY MEDICINE RESIDENCY
SALT LAKE CITY, UT 84108
Physician Assistant
375 CHIPETA WAY, SUITE A
SALT LAKE CITY, UT 84108
Family Medicine
375 CHIPETA WAY, STE A
SALT LAKE CITY, UT 84108
Family Medicine
375 CHIPETA WAY, SUITE A
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.

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 4 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.