| Karen W. Malm, Ph.d., P.c. | |
|
4018 Rasmussen Rd Park City UT 84098-4705 | |
| (801) 599-0924 | |
| (435) 649-7266 |
| Full Name | Karen W. Malm, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4018 Rasmussen Rd, Park City, Utah |
| Authorized Official Name and Position | Karen Wheelock Malm (OWNER) |
| Authorized Official Contact | 8015990924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen W. Malm, Ph.d., P.c. Po Box 982678 Park City UT 84098-2678 Ph: (801) 599-0924 | Karen W. Malm, Ph.d., P.c. 4018 Rasmussen Rd Park City UT 84098-4705 Ph: (801) 599-0924 |
| NPI Number | 1871701656 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284732835 |
|---|---|
| Medicare Enrollment ID | O20070723000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871701656 | NPI | - | NPPES |
| 101527079003 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 116826-2501 (Utah) | Primary |
| Provider Name | Laura C Maw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982661039 PECOS PAC ID: 3971592585 Enrollment ID: I20040510000444 |
| Provider Name | Karen W Malm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235108812 PECOS PAC ID: 8729185673 Enrollment ID: I20070723000330 |
| Provider Name | Patricia Merkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659340164 PECOS PAC ID: 9133291826 Enrollment ID: I20080714000153 |
| Provider Name | Birgitte C Cuneo Hellberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255634713 PECOS PAC ID: 3971741638 Enrollment ID: I20130607000663 |
| Provider Name | Randi Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346642121 PECOS PAC ID: 2769707256 Enrollment ID: I20150204000008 |
| Provider Name | Natalie Ann Lanham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073587309 PECOS PAC ID: 8729309174 Enrollment ID: I20150610001512 |
| Provider Name | Jenna L Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801184015 PECOS PAC ID: 9133400724 Enrollment ID: I20161219001429 |
| Provider Name | Kristina Talbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558605360 PECOS PAC ID: 8820355316 Enrollment ID: I20171208002577 |
| Provider Name | Kimberly Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881992782 PECOS PAC ID: 6406114917 Enrollment ID: I20171211000663 |
| Provider Name | Britni E Hulser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598273120 PECOS PAC ID: 7315207487 Enrollment ID: I20180209001470 |
| Provider Name | James Knorr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326565300 PECOS PAC ID: 2163758715 Enrollment ID: I20190719002351 |
| Provider Name | Sarah Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164084810 PECOS PAC ID: 0547590002 Enrollment ID: I20190925002927 |
| Provider Name | Justin Potts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528491495 PECOS PAC ID: 7315374212 Enrollment ID: I20200304002405 |
| Provider Name | Alexander Maxwell Dahmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073954996 PECOS PAC ID: 9537598818 Enrollment ID: I20200408000744 |
| Provider Name | Leah K Huhnke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659605525 PECOS PAC ID: 7214383504 Enrollment ID: I20231023002140 |
| Provider Name | Susan K Niebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861165839 PECOS PAC ID: 7911349352 Enrollment ID: I20240530001530 |
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