DR. PAUL SCOTT FLACK (NPI# 1124234349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124234349 |
| Entity Type | Individual |
| Full Name | DR. PAUL SCOTT FLACK |
| Credential | DMFT, LMFT |
| Practice Address |
120 W. 1300 S. Salt Lake City UT 84115 |
| Mailing Address |
120 W. 1300 S. Urban Indian Center of Salt Lake Salt Lake City UT 84115 |
| Practice Telephone | 8014864877 |
| Practice Fax Number | 8012147685 |
| Mailing Telephone | 8014864877 |
| Mailing Fax Number | 8012147685 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 5276452-3902 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1124234349 | 05 |
| Street Address |
120 W. 1300 S. |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528088986 | Shauntele Elizabeth Curry | Social Worker | 120 W. 1300 S., Salt Lake City, UT 84115 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052880 | Sarah Dawn Finney | Marriage & Family Therapist | 3390 S Oakwood St, Salt Lake City, UT 84109-3073 | 2020-04-23 |
| 1871153320 | Kimberly Lawson | Marriage & Family Therapist | 1945 S 1100 E Ste 202, Salt Lake City, UT 84106-4092 | 2019-06-17 |
| 1699239988 | Meredith Barney | Marriage & Family Therapist | 1425 S 700 E, Salt Lake City, UT 84105-2125 | 2019-01-30 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1174098073 | Catherine Elizabeth Lundell | Marriage & Family Therapist | 4505 S Wasatch Blvd Ste 290, Salt Lake City, UT 84124-4204 | 2018-10-06 |
| 1114417219 | Utah Center for Couples and Families, Pllc | Marriage & Family Therapist | 4190 S Highland Dr Ste 104, Salt Lake City, UT 84124-2661 | 2018-05-14 |
| 1063948545 | Ryan C Smith | Marriage & Family Therapist | 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 | 2017-05-03 |
| 1821453986 | Amanda Nelson | Marriage & Family Therapist | 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 | 2015-12-16 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1861815813 | Karin Krueger | Marriage & Family Therapist | 923 E Executive Park Dr Ste D, Salt Lake City, UT 84117-3558 | 2014-01-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on DR. PAUL SCOTT FLACK.
| 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.