DR. MARK DAVID CORGIAT (NPI# 1336296003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336296003 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID CORGIAT |
| Credential | PHD |
| Practice Address |
1916 N 700 W Suite 190 Layton UT 84041-5673 |
| Mailing Address |
1916 Layton Hills Pkwy Suite 190 Layton UT 84041-5673 |
| Practice Telephone | 8018206169 |
| Practice Fax Number | 8018206912 |
| Mailing Telephone | 8018206169 |
| Mailing Fax Number | 8018206912 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6344743-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1916 N 700 W SUITE 190 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-5673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598873283 | Brian H Morgan | Physical Medicine & Rehabilitation | 1916 N 700 W, Layton, UT 84041-5673 | 2006-08-25 |
| 1215209689 | New Vision Counseling Center- | Clinic/Center | 1916 N 700 W, Suite 241, Layton, UT 84041-5673 | 2012-02-01 |
| 1255651824 | Gregory Alan Mason | Counselor | 1916 N 700 W, Suite 241, Layton, UT 84041-5673 | 2010-06-07 |
| 1942411681 | Sharon Denise Lockhart | Acupuncturist | 1916 N 700 W, Suite 270, Layton, UT 84041-5673 | 2007-05-24 |
| 1720121783 | Alpine Spine Sports and Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 1916 N 700 W, Suite 250, Layton, UT 84041-5673 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629395181 | Kirt Cundick | Psychologist | 1454 N Hill Field Rd Ste 3, Layton, UT 84041-5061 | 2010-04-23 |
| 1619077161 | Kay Psychological and Consulting Services | Psychologist | 880 Heritage Park Blvd Ste 230c, Layton, UT 84041-5676 | 2006-09-24 |
| 1447210646 | Steven Kay | Psychologist | 1601 N Hill Field Rd, Suite 201, Layton, UT 84041-2161 | 2006-03-23 |
| 1194709980 | Thomas C Fairbank | Psychologist | 2084 N 1700 W Ste 6, Layton, UT 84041 | 2005-12-05 |
| 1043330178 | Scott W. Boyle | Psychologist | 934 S Main St, Layton, UT 84041-7135 | 2007-03-30 |
| 1437167392 | Virgil J Keate | Psychologist | 934 S Main St, Layton, UT 84041-7135 | 2006-08-04 |
| 1376558064 | Todd A Soutor | Psychologist | 934 S Main St, Layton, UT 84041-7135 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433059 | Steven Lucero | Psychologist | 93 S 1250 E, Logan, UT 84321-6770 | 2020-10-05 |
| 1023627759 | Wasatch Front Wellness, Pllc | Psychologist | 940 N 400 E Ste 3, North Salt Lake, UT 84054-1945 | 2020-07-29 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1467073833 | Realign Psychology LLC | Psychologist | 1042 E Fort Union Blvd, #1085, Midvale, UT 84047-1800 | 2020-04-27 |
| 1508404344 | Rith Counseling and Assessment Pllc | Psychologist | 10432 S 4000 W, South Jordan, UT 84009-5729 | 2019-12-11 |
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
| 1407311087 | Hiu Wai Caldwell | Psychologist | 796 E. Pacific Drive Suite B, American Fork, UT 84003-8400 | 2019-02-07 |
| 1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
| Find all providers with the same taxonomy | ||||
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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.