DAVID B TATE PHD LLC (NPI# 1407308737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407308737 |
Entity Type | Organization |
Organization Name | DAVID B TATE PHD LLC |
Practice Address |
321 N Mall Dr Suite I-201 St George UT 84790-7323 |
Practice Telephone | 4356560506 |
Practice Fax Number | 4352724009 |
Mailing Telephone | 4356560506 |
Mailing Fax Number | 4352724009 |
Enumeration Date | 2016-11-03 |
Last Update Date | 2016-11-10 |
Authorized Official Name | DAVID BRENT TATE (OWNER) |
Authorized Official Telephone | 4356560506 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
2891262501 | UT | Behavioral Health & Social Service Providers |
Street Address |
321 N MALL DR SUITE I-201 |
City | ST GEORGE |
State | UT |
Zip Code | 84790-7323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437258480 | Darren Boyd Earl | Dentist | 321 N Mall Dr, # F102, St George, UT 84790 | 2006-09-22 |
1619537503 | Grant Pemberton | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-06-13 |
1467925883 | Saskia Ann Stallings | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-01-08 |
1255815692 | Victoria Kate Graff | Social Worker | 321 N Mall Dr, E 102, St George, UT 84790-7302 | 2018-09-21 |
1710436019 | Amy Michelle Tikalsky | Behavior Technician | 321 N Mall Dr, Suite E102, St George, UT 84790-7302 | 2016-09-27 |
1215320775 | Dental Center of St. George LLC | Health Maintenance Organization | 321 N Mall Dr, #p101, St George, UT 84790-7302 | 2015-03-09 |
1528476421 | David H Jones | Marriage & Family Therapist | 321 N Mall Dr, Vw-103, St George, UT 84790 | 2014-07-24 |
1427485101 | Cecilie Ott | Marriage & Family Therapist | 321 N Mall Dr, St George, UT 84790-7302 | 2013-09-26 |
1144566654 | Irvin Paul Dunsdon | Massage Therapist | 321 N Mall Dr, Bldg I #102, St George, UT 84790-7302 | 2013-01-02 |
1548534043 | Chad A Graff, Ph.d., LLC | Counselor | 321 N Mall Dr, Vw101, St George, UT 84790-7302 | 2012-03-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
Find all providers in zip 84790 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700183704 | Christoffersen Psychological Services PC | Psychologist | 437 S Bluff St Ste 202, St George, UT 84770-3555 | 2011-02-28 |
1093992711 | David Brent Tate | Psychologist | 321 N Mall Dr, Suite I-201, St George, UT 84790-7302 | 2008-01-24 |
1477610541 | Center for Stress Reduction, Inc. | Psychologist | 437 S Bluff St, Suite 202, St George, UT 84770-3592 | 2007-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568074805 | Adam Scalese | Psychologist | 216 W 380 S, American Fork, UT 84003-2976 | 2020-08-18 |
1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
1578113510 | Phillip Dale Rash | Psychologist | 1424 W 430 S, Provo, UT 84601-3986 | 2019-09-11 |
1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
1760929707 | Melissa Kay Jones | Psychologist | 4132 Timpview Dr, Provo, UT 84604-5128 | 2017-01-29 |
1780043604 | Brigg Noyes, Phd | Psychologist | 160 S 1000 E Ste 310, Suite 310, Salt Lake City, UT 84102-1474 | 2016-02-19 |
1225400203 | Ellen Behrens | Psychologist | 2394 Daybreaker Dr, Park City, UT 84098-5880 | 2015-10-29 |
1922478650 | Karen Cone-uemura | Psychologist | 201 S 1460 East, Salt Lake City, UT 84112-9061 | 2015-10-07 |
1417332206 | Sarah Knowlton | Psychologist | 242 S 800 W, Orem, UT 84058-5353 | 2015-07-22 |
1790181576 | Ronald Chamberlain | Psychologist | 320 East 600 South, St. George, UT 84770 | 2014-11-06 |
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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.