DR. JENNIE LYN BINGHAM (NPI# 1043776933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043776933 |
| Entity Type | Individual |
| Full Name | DR. JENNIE LYN BINGHAM |
| Credential | PHD |
| Practice Address |
750 Round Valley Dr Ste 204 Park City UT 84060-7549 |
| Mailing Address |
881 W Baxter Dr Ste 100 South Jordan UT 84095-8506 |
| Practice Telephone | 4359405670 |
| Practice Fax Number | 4359405689 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 8788382-2501 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 438 S 1680 W, Provo, UT 846013819 | 7747455353 | |
| 1500 Wsc, Provo, UT 846027924 | 7747455353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253089 | Jennie Bingham | Registered Nurse | 361 Wattling Rd, West Columbia, SC 29170-2245 | 2013-05-30 |
| Street Address |
750 ROUND VALLEY DR STE 204 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| 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 |
|---|---|---|---|---|
| 1902054091 | Andrew Nichols | Psychologist | 1389 Center Dr, Ste 200, Park City, UT 84098-7659 | 2008-09-03 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1871701656 | Karen W. Malm, Ph.d., P.C. | Psychologist | 4018 Rasmussen Rd, Park City, UT 84098-4705 | 2007-05-18 |
| 1558415976 | Paul John Gardner | Psychologist | 5672 Oslo Lane, Paul Gardner, Park City, UT 84098 | 2007-01-23 |
| 1346332244 | Patricia Ann Lindsay | Psychologist | 1743 W Redstone Center Dr, Suite 115, Park City, UT 84098 | 2006-09-28 |
| 1255757845 | Ariel Ford | Psychologist | 6300 Sagewood Dr, #434, Park City, UT 84098-7502 | 2014-03-06 |
| 1528407665 | Katie Yoder | Psychologist | 1750 Sun Peak Dr, Suite 175, Park City, UT 84098-6724 | 2013-06-21 |
| 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 |
| 1083178404 | Kevin Michael Fenstermacher | Psychologist | 1549 E 3970 S, Millcreek, UT 84124-1524 | 2019-01-30 |
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JENNIE LYN BINGHAM.
| 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.