DR. JEFFREY ARNOLD KOVNICK (NPI# 1770701609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770701609 |
Entity Type | Individual |
Full Name | DR. JEFFREY ARNOLD KOVNICK |
Credential | M.D. |
Practice Address |
8265 W 2700 S Magna UT 84044-1323 |
Mailing Address |
370 A St Salt Lake City UT 84103-2536 |
Practice Telephone | 8012509762 |
Mailing Telephone | 8013288911 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
184995-1205 | UT | Allopathic & Osteopathic Physicians |
Street Address |
8265 W 2700 S |
City | MAGNA |
State | UT |
Zip Code | 84044-1323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063552305 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 8265 W 2700 S, Magna, UT 84044-1323 | 2007-02-07 |
1780210559 | Kyle Peterson | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2020-03-12 |
1639722192 | Natalie Marie Montanez | Counselor | 8265 W 2700 S, Magna, UT 84044-1323 | 2019-07-23 |
1699204123 | Scott David Hove | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2017-06-08 |
1720445877 | Kenneth Scaggs | Counselor | 8265 W 2700 S, Magna, UT 84044-1323 | 2016-01-20 |
1023438116 | Amy Thomas | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2014-04-16 |
1275970543 | Kristin Adams | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2013-05-28 |
1487990552 | Tracy Hove | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2012-12-18 |
1700157062 | Steven Michael Sawyer | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2012-01-18 |
1497034201 | Victor Tua'one | Residential Treatment Facility, Emotionally Disturbed Children | 8265 W 2700 S, Magna, UT 84044-1323 | 2011-08-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376073965 | Danielle Lauren Tanner | Social Worker | 8265 W. 2700 South, Magna, UT 84044 | 2017-06-15 |
1316485774 | Alina Crawford | Specialist | 9115 W Magna Main St, Magna, UT 84044 | 2017-02-06 |
1437469756 | Ashley Christine Prescott | Counselor | 2711 S 8500 W, Magna, UT 84044 | 2010-10-20 |
1548578511 | Valerie D Liggett | Social Worker | 2700 South 8537 West, Magna, UT 84044 | 2010-09-23 |
1265642334 | Tab Bingham | Dentist | 8370 W 3500 S, Magna, UT 84044 | 2007-05-23 |
1962437251 | Catherine Luverne Baxter | Nurse Practitioner | 840 W 3665 S, Magna, UT 84044 | 2006-07-12 |
1710918586 | Marliese Lovelei Lloyd | Physician Assistant | 8211 W 3500 So, Magna, UT 84044 | 2006-07-06 |
1093771446 | Kristine Holly Frost | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-04-25 |
1124175161 | Marilyn Marie Chan | Nurse Practitioner | 8925 South 2700 West, West Jordan, UT 84044 | 2007-01-04 |
1922163401 | Kevin Macfarlane | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-12-26 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101014 | Tms Elevated | Psychiatry & Neurology | 1790 Sun Peak Dr Ste B105, Park City, UT 84098-6625 | 2020-07-14 |
1134643596 | Ladders | Psychiatry & Neurology | 1399 S 700 E Ste 10, Salt Lake City, UT 84105-2167 | 2017-07-27 |
1477999688 | Kiera Schlansky | Psychiatry & Neurology | 1010 N 500 E Ste 110a, North Salt Lake, UT 84054-1949 | 2013-05-14 |
1710280565 | Dr Ryan Raymond Williams Md PC | Psychiatry & Neurology | 190 South 100 West, Beaver, UT 84713-1512 | 2010-12-17 |
1376725077 | Paul D Francom | Psychiatry & Neurology | 5600 N Heritage School Dr, Heritage School Inc, Prove, UT 84604 | 2007-12-04 |
1487779955 | Rachel Anne Weir | Psychiatry & Neurology | 650 Komas Dr Ste 208, Salt Lake City, UT 84108-1241 | 2007-03-20 |
1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
1073674768 | Ralph William Knapp | Psychiatry & Neurology | 1130 W Center St, North Salt Lake, UT 84054-2917 | 2006-12-13 |
1477565539 | Brian Lee Grimwood | Psychiatry & Neurology | 320 E 600 S, St George, UT 84770-3949 | 2006-08-13 |
1942268446 | Melissa P Lopez-larson | Psychiatry & Neurology | 383 S Colorow Dr, University of Utah, Salt Lake City, UT 84108-1201 | 2006-05-03 |
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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.