Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen Marie Bonebrake, MD

Individual provider Psychiatry Physician · NPI 1245692466

Dr. Kathleen Marie Bonebrake, MD is a Psychiatry in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2016, 10 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 S Chipeta Way
Salt Lake City, UT 84108
Phone: (801) 587-8626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 10505880-1205 (UT)

Record details

NPI number1245692466
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2016
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice University Of Utah Behavioral Health Services — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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