DR. COLLEEN M. SANDOR (NPI# 1750597712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750597712 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN M. SANDOR |
| Credential | PH.D. |
| Practice Address |
2005 E 2700 S Suite 180 Salt Lake City UT 84109-1700 |
| Practice Telephone | 8014668618 |
| Mailing Telephone | 8014668618 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3337042501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
2005 E 2700 S SUITE 180 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003883349 | Gerald Martin Lazar | Psychiatry & Neurology | 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109-1700 | 2006-03-07 |
| 1477759132 | Cindy Squire | Counselor | 2005 E 2700 S, Rock Mountain Psychological Services, Salt Lake City, UT 84109-1700 | 2007-06-21 |
| 1831212711 | Miriam M Dunford | Social Worker | 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109-1700 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857026 | Adam Hanley | Psychologist | 395 S 1500 E, Salt Lake City, UT 84112-8909 | 2020-09-28 |
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1184199721 | Aharon D. Shulimson, Ph.d. | Psychologist | 1111 E Brickyard Rd Ste 205, Salt Lake City, UT 84106-2571 | 2018-10-10 |
| 1437666054 | Novum Psychotherapy, PC | Psychologist | 275 E South Temple Ste 150, Salt Lake City, UT 84111-1270 | 2018-01-04 |
| 1952812414 | Lauren Michele Weitzman | Psychologist | 24 S 1100 E Ste 303, Salt Lake City, UT 84102-4307 | 2017-10-23 |
| 1326565300 | James Knorr | Psychologist | 7069 S Highland Dr Ste 5, Salt Lake City, UT 84121-3724 | 2017-08-29 |
| 1043735418 | Christopher M Davids | Psychologist | 439 E 900 S Fl 2, Salt Lake City, UT 84111-4303 | 2017-08-07 |
| 1710416037 | Lori Lynn Dekeyzer | Psychologist | 4568 S Highland Dr Ste 200, Salt Lake City, UT 84117-4235 | 2017-06-08 |
| 1285178459 | Mountain West Evaluation & Therapy Services | Psychologist | 3344 S 1885 E, Salt Lake City, UT 84106-3942 | 2016-12-07 |
| 1194270876 | Gita Rakhsha, Ph.d. LLC | Psychologist | 2046 E Murray Holladay Rd Ste 103, Salt Lake City, UT 84117-5175 | 2016-08-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
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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.