MS. NATALIE HEERSINK ROTH


Address: 44 N Medical Dr, Salt Lake City, UT 84113-1105
Phone: 8015848526

MS. NATALIE HEERSINK ROTH (NPI# 1699727164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699727164
Entity Type Individual
Full Name MS. NATALIE HEERSINK ROTH
Credential PH.D.
Practice Address 44 N Medical Dr
Salt Lake City
UT 84113-1105
Mailing Address 7046 S 2825 E
Salt Lake City
UT 84121-4202
Practice Telephone 8015848526
Mailing Telephone 8019420760
Enumeration Date 2006-05-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
51938892501 UT Behavioral Health & Social Service Providers

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Office Location

Street Address 44 N MEDICAL DR
City SALT LAKE CITY
State UT
Zip Code 84113-1105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720220353 Developmental Pediatrics Pediatrics 44 N Medical Dr, Salt Lake City, UT 84113-1105 2009-03-27
1578721080 Alison Seppi Registered Nurse 44 N Medical Dr, Salt Lake City, UT 84113-1105 2008-05-30
1093937864 Laurie K Redd Audiologist 44 N Medical Dr, Salt Lake City, UT 84113-1105 2007-05-02
1558490474 Calvin Rolfe Marchant Audiologist 44 N Medical Dr, Salt Lake City, UT 84113-1105 2007-03-05
1023147899 Roxann B Hunt Speech-Language Pathologist 44 N Medical Dr, Salt Lake City, UT 84113-1105 2007-03-05
1659400604 Thomas M Mahoney Audiologist 44 N Medical Dr, Salt Lake City, UT 84113-1105 2007-03-05
1174669477 Margaret E Chaney Dietitian, Registered 44 N Medical Dr, Salt Lake City, UT 84113-1105 2007-01-30
1164573689 Anna S Bodnar Pediatrics 44 N Medical Dr, Salt Lake City, UT 84113-1105 2007-01-12
1861571648 Scott Michael Jerome Physical Therapist 44 N Medical Dr, Salt Lake City, UT 84113-1105 2006-11-03
1548341647 Walter R. Torres Social Worker 44 N Medical Dr, Salt Lake City, UT 84113-1105 2006-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780230433 Carolynne Elizabeth Baron Psychologist Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 2019-08-16
1083133938 Dio Turner II Psychologist 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 2017-09-12
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1205202355 Laura Rowley Psychologist 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 2015-08-12
1275916223 Amy Bonifay Russell Psychologist 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 2015-07-08
1952710071 The Pearce Institute of Child and Family Psychology, LLC Psychologist 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 2014-08-04
1053728105 Margaret Ruth Moore Psychologist 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 2014-07-21
1316360225 Amanda Lorraine Rapacz Psychologist 239 E Belmont Ave, Salt Lake City, UT 84111-4619 2014-01-28
1134566904 Allison Marie Smith Psychologist 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 2013-06-03
1558611970 New Life Balance, LLC Psychologist 2689 S Highland Dr, Salt Lake City, UT 84106-2774 2012-09-13
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Competitor

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City SALT LAKE CITY
Zip Code 84113

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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