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Dr. Daphne Ursula Hartzheim , PHD CCC-SLP, BCBA

Speech-Language Pathologist β€’ Logan, UT

Active NPI 1417532185 Individual Practitioner Female Practitioner
Practice location in NPPES

6410 Old Main Hl
Logan, UT 843225400

Call 4357971375 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6410 Old Main Hl

Logan, UT 843225400

Telephone 4357971375
Organization at the Same NPPES Address or Phone
Utah State University Facility NPI 1235374984

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Logan, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hartzheim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Logan and Utah

60 active clinicians are listed under Speech-Language Pathologist with a practice address in Logan, UT (1,344 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Logan

0% of these 60 clinicians have the CMS telehealth indicator.

8.3% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES UT 6592345-4102

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES UT 6592345-2506

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20230118002084

Enrollment State Jurisdiction

UT

PECOS Control ID

7810368420

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

6405 Old Main Hill

Logan, UT 843225400

Phone: 4357970576

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1871509356

Doctor of Audiology

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 25, 2023

Registered at 6410 OLD MAIN HL, LOGAN, UT 843225400 (Tel: 4357971375)

πŸ“
Updated Business Mailing Address October 25, 2023

Registered at 6410 OLD MAIN HL, LOGAN, UT 843225400 (Tel: 4357971375)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2023

Behavior Analyst (license number reported to NPPES: UT 6592345-2506)

βœ…
NPI Profile Active April 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 12, 2021

Registered at 12637 S 265 W, DRAPER, UT 840205400 (Tel: 8019988428)

πŸ“
Business Mailing Address (Initial Record) April 12, 2021

Registered at 12637 S 265 W, DRAPER, UT 840205400 (Tel: 8019988428)

πŸ‘€
Provider Name / Credentials (Initial Record) April 12, 2021

Recorded as DAPHNE HARTZHEIM, PH.D. CCC-SLP, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Speech-Language Pathologist (license number reported to NPPES: UT 6592345-4102)

🟒
Initial NPI Registration & Enumeration March 15, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417532185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2021
Last Update: October 25, 2023
Sole Proprietor: No

Mailing Address

6410 Old Main Hl

Logan, UT 843225400

Phone: 4357971375

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.