GEN NUMAGUCHI (NPI# 1043274160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043274160 |
| Entity Type | Individual |
| Full Name | GEN NUMAGUCHI |
| Credential | PHD |
| Practice Address |
198 East Center Street Moab UT 84532 |
| Mailing Address |
Po Box 867 105 West 100 North Price UT 84501 |
| Practice Telephone | 4352596131 |
| Practice Fax Number | 4352595369 |
| Mailing Telephone | 4356377200 |
| Mailing Fax Number | 4356372377 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2625052501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
198 EAST CENTER STREET |
| City | MOAB |
| State | UT |
| Zip Code | 84532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869863 | Kelland Jay Brewer | Social Worker | 198 East Center Street, Moab, UT 84532 | 2018-07-31 |
| 1952824740 | Aja Elizabeth Lyman | Social Worker | 198 East Center Street, Moab, UT 84532 | 2017-07-24 |
| 1245753441 | John Andreas Dahle | Counselor | 198 East Center Street, Moab, UT 84532 | 2017-07-19 |
| 1326561523 | Tara Lynn Wilder | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532 | 2017-07-19 |
| 1134668213 | Lauren Gwen Fuller | Licensed Practical Nurse | 198 East Center Street, Moab, UT 84532 | 2017-02-22 |
| 1861935223 | Emily Strom Davis | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532-0000 | 2016-12-02 |
| 1124573746 | Alicia Mae Cooper | Student in an Organized Health Care Education/Training Program | 198 East Center Street, Moab, UT 84532-0000 | 2016-08-24 |
| 1346694544 | Belinda Lou Hurst | Counselor | 198 East Center Street, Moab, UT 84532 | 2016-04-14 |
| 1366804122 | Robert Isadore Greenberg | Counselor | 198 East Center Street, Moab, UT 84532 | 2016-03-22 |
| 1184099780 | Quincy C Masur | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532-0387 | 2015-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225173685 | James Anthony Ferro | Psychologist | 76 S Main St, Ste. # 6, Moab, UT 84532-2567 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1346857026 | Adam Hanley | Psychologist | 395 S 1500 E, Salt Lake City, UT 84112-8909 | 2020-09-28 |
| 1770198566 | Behavioral Health Holdings LLC | Psychologist | 768 S 1100 E, Spanish Fork, UT 84660-2552 | 2020-09-09 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1033742887 | Vaughn E Worthen | Psychologist | 1545 Wsc, Provo, UT 84602-7924 | 2020-02-20 |
| 1275172363 | Wasatch Learning & Development | Psychologist | 8170 S Highland Dr Ste E5, Sandy, UT 84093-6469 | 2020-01-06 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1043776933 | Jennie Lyn Bingham | Psychologist | 750 Round Valley Dr Ste 204, Park City, UT 84060-7549 | 2019-02-15 |
| 1083178404 | Kevin Michael Fenstermacher | Psychologist | 1549 E 3970 S, Millcreek, UT 84124-1524 | 2019-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.