DR. KIMBERLY RUTH WALSH (NPI# 1699750018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699750018 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY RUTH WALSH |
| Credential | PSY.D. |
| Practice Address |
1452 East Ridgeline Drive Suite 151 South Ogden UT 84405 |
| Mailing Address |
Po Box 150214 Ogden UT 84415-0214 |
| Practice Telephone | 8016900353 |
| Practice Fax Number | 8014797020 |
| Mailing Telephone | 8016900353 |
| Mailing Fax Number | 8014797020 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 117391-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
117391-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427341247 | Kimberly A Walsh | Registered Nurse | 424 Harvard St Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2011-05-26 |
| 1376728899 | Kimberly Marie Walsh | Pharmacist | 12208 Route 16, Yorkshire, NY 14173 | 2008-01-03 |
| 1841246592 | Kimberly Elizabeth Walsh | Psychologist | 2868 Acton Road, Birmingham, AL 35243 | 2006-05-25 |
| Street Address |
1452 EAST RIDGELINE DRIVE SUITE 151 |
| City | SOUTH OGDEN |
| State | UT |
| Zip Code | 84405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1497254304 | Ctr Supports | Clinical Neuropsychologist | 10182 S Campden Ct, South Jordan, UT 84009-7109 | 2018-02-06 |
| 1770954356 | Erin Elizabeth Krauskopf | Clinical Neuropsychologist | 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 | 2015-10-08 |
| 1528469947 | Jordan Harris Rigby | Clinical Neuropsychologist | 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 | 2014-09-05 |
| 1366719601 | Joann T. Tschanz | Clinical Neuropsychologist | 2810 Old Main Hill, Utah State University, Logan, UT 84322-2810 | 2011-11-30 |
| 1649567728 | Grace Macdowell | Clinical Neuropsychologist | 11762 S State St Ste 160, Draper, UT 84020-7174 | 2011-07-08 |
| 1215239348 | Jon Leroy Pertab | Clinical Neuropsychologist | 5171 South Cottonwood St Suite 810, Neurosciences Institute, Murray, UT 84107 | 2010-11-22 |
| 1619287208 | Lisa Michelle Sugerman | Clinical Neuropsychologist | 389 W 10000 S Ste A, South Jordan, UT 84095-4104 | 2010-10-15 |
| 1154565729 | Keith Mcgoldrick | Clinical Neuropsychologist | 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 | 2009-04-27 |
| 1356593297 | Dustin Bradshaw Hammers | Clinical Neuropsychologist | 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 | 2008-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OGDEN |
| Zip Code | 84405 |
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| 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.