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

Kevin Michael Fenstermacher, PHD

Individual provider Psychologist · NPI 1083178404

Kevin Michael Fenstermacher, PHD is a Psychologist in Millcreek, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1549 E 3970 S
Millcreek, UT 84124-1524
Phone: (801) 201-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4505 S Wasatch Blvd Ste 380, Salt Lake City, UT 84124-4733 — (801) 201-3139

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 5075655-2501 (UT)

Record details

NPI number1083178404
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJanuary 30, 2019

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