GARCIA CLINICAL PSYCHOLOGY, LLC (NPI# 1164853651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164853651 |
| Entity Type | Organization |
| Organization Name | GARCIA CLINICAL PSYCHOLOGY, LLC |
| Practice Address |
1060 E 100 S Suite 100 Salt Lake City UT 84102-1501 |
| Practice Telephone | 8014100888 |
| Mailing Telephone | 8014100888 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |
| Authorized Official Name | RYAN GARCIA (OWNER) |
| Authorized Official Telephone | 8014100888 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2013-03569 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE | 000073660 | 01 |
| Street Address |
1060 E 100 S SUITE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263213 | Lisa Stout | Specialist | 1060 E 100 S, Ste 110, Salt Lake City, UT 84102-1591 | 2005-05-24 |
| 1336686856 | Wasatch Psychological Services, LLC | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2017-01-23 |
| 1982083440 | Dr Amy Lynn Fehlberg | Psychologist | 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 | 2015-05-29 |
| 1386042760 | John Richard Mcvey | Physician Assistant | 1060 E 100 S, Suite 110, Salt Lake City, UT 84102-1501 | 2014-12-16 |
| 1275940611 | Sunnyside Pediatrics | Clinic/Center | 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 | 2014-07-17 |
| 1447522859 | Ryan Woodrow Wilkes | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2012-01-31 |
| 1912274309 | Julia Jacobs | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2011-11-29 |
| 1609167899 | Ryan Garcia | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2011-04-22 |
| 1225333842 | Wh-bm Consultant LLC | Specialist | 1060 E 100 S, L10, Salt Lake City, UT 84102-1501 | 2011-01-12 |
| 1619108057 | Amy Lynn Fehlberg | Psychologist | 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 | 2009-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086631 | Treatment Assessment Screening Center, Inc | Clinic/Center | 145 E 1300 S Ste 101, Salt Lake City, UT 84115-6118 | 2015-10-22 |
| 1285016972 | Gonstead Chiropractic | Clinic/Center | 1154 S 300 W, Suite C, Salt Lake City, UT 84101-3053 | 2015-06-18 |
| 1932490190 | Work Care Clinic | Clinic/Center | 2390 S Redwood Road, Salt Lake City, UT 84119-2027 | 2011-04-22 |
| 1578869954 | Directmd, LLC | Clinic/Center | Salt Lake County Government Ctr, 2001 South State Street, Ste S2400, Salt Lake City, UT 84190-0001 | 2011-02-02 |
| 1124156906 | Madhuri Shah | Clinic/Center | 515 S 400 E, Salt Lake City, UT 84111-3501 | 2007-03-01 |
| 1902833270 | Diabetic Treatment Centers of America | Clinic/Center | 50 S 900 E, Suite 1a, Salt Lake City, UT 84102-1366 | 2006-06-26 |
| 1447733258 | Mr Health, Inc. | Clinic/Center | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2018-09-08 |
| 1376032672 | Symbiosis Counseling | Clinic/Center | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-05-02 |
| 1780182683 | Valleyfit Clinic LLC | Clinic/Center | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-01-25 |
| 1023521119 | All for Women Healthcare, Inc | Clinic/Center | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2017-11-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.