LAURA ANNE CZAJKOWSKI (PHD) – Clinical Psychologist, NPI 1417047002

Clinical Psychologist

LAURA ANNE CZAJKOWSKI (PHD) is a healthcare provider. based in Salt lake city, Utah. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 115714-2501 (UT). The NPI Number for LAURA ANNE CZAJKOWSKI (PHD) is 1417047002

Main info

Female

38 Years Of Experience

Accepts Medicare Assignment

Name

LAURA ANNE CZAJKOWSKI (PHD)

NPI

1417047002

Phone

(801) 213-3800

Address

PO BOX 581079

Enumeration Date

13 October 2006

Last Update Date

12 November 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8015812121

Graduation Year

1988 (38 years ago)

PAC ID

0042312902

Group Practice PAC ID

0749262665

Professional Enrollment ID

I20070222000758

Contacts

Secure Messaging

lczajkowski2265@direct.med.utah.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for LAURA ANNE CZAJKOWSKI (PHD)

PO BOX 581079
SALT LAKE CITY, UT 841581079
Phone: (801) 213-3800
Type: Mailing
50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841320001
Phone: (801) 581-7951
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84158)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0749262665View full group profile

Name	Specialty	State
DR. JACKE L CORBETT (APRN)	-	UT
JOHN DAVIS VANDERVEEN (PHD)	-	UT
DR. CAROLINE SUZANNE KELLEY (PSYD)	-	UT
DR. KELLY GLAZER BARON (PH.D.)	-	IL
MARTA TERESA LOPEZ (LCSW)	-	UT
DR. SOFIA MICHELLE CHERNOFF (PSYD)	-	UT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for LAURA ANNE CZAJKOWSKI (PHD)?

LAURA ANNE CZAJKOWSKI (PHD) — NPI 1417047002 — is the standard way to identify this listing.

Can I rely on LAURA ANNE CZAJKOWSKI (PHD) being an active provider?

As of the registry snapshot, LAURA ANNE CZAJKOWSKI (PHD) is marked active.

What taxonomy line describes LAURA ANNE CZAJKOWSKI (PHD)?

For research purposes, treat LAURA ANNE CZAJKOWSKI (PHD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for LAURA ANNE CZAJKOWSKI (PHD)?

LAURA ANNE CZAJKOWSKI (PHD)'s geographic hint is Salt Lake City, Utah in our summary view.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.