CARL ROBERT EDGINGTON (NPI# 1427285444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427285444 |
| Entity Type | Individual |
| Full Name | CARL ROBERT EDGINGTON |
| Other Name | CHUCK EDGINGTON |
| Credential | PHD |
| Practice Address |
515 S 700 E Ste 2a Salt Lake City UT 84102-2855 |
| Mailing Address |
724 E 1200 N Bountiful UT 84010-2635 |
| Practice Telephone | 8019354171 |
| Practice Fax Number | 8019354946 |
| Mailing Telephone | 4053155756 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
354718-2501 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4101 Nw 122nd St Ste C, Oklahoma City, OK 731208816 | 4055629260 | 4052609559 |
| 1100 Ne 13th St, Child Study Center, Oklahoma City, OK 731171039 | 4052715700 | |
| 501 E 15th St Ste 500d, Edmond, OK 730135045 | 4055629260 | 4052609559 |
| Street Address |
515 S 700 E STE 2A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760228 | Summer Soleil Hammond | Preventive Medicine | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-11-08 |
| 1134720881 | Chase Goff | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-11-07 |
| 1780284554 | Joseph Guerrieri | Behavioral Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-29 |
| 1083214498 | Jenacia Pemberton | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-27 |
| 1063012409 | Rispah Otieno | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-26 |
| 1558961979 | Samantha M Johnsn | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-26 |
| 1962001412 | Hannah Green | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-25 |
| 1962001404 | Maile Mangisi | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-24 |
| 1679172803 | Carly Rose Walters | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-19 |
| 1710586037 | Regina M Richey | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-10-19 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1083133938 | Dio Turner II | Psychologist | 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 | 2017-09-12 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1205202355 | Laura Rowley | Psychologist | 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 | 2015-08-12 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1952710071 | The Pearce Institute of Child and Family Psychology, LLC | Psychologist | 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 | 2014-08-04 |
| 1053728105 | Margaret Ruth Moore | Psychologist | 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 | 2014-07-21 |
| 1316360225 | Amanda Lorraine Rapacz | Psychologist | 239 E Belmont Ave, Salt Lake City, UT 84111-4619 | 2014-01-28 |
| 1134566904 | Allison Marie Smith | Psychologist | 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 | 2013-06-03 |
| 1558611970 | New Life Balance, LLC | Psychologist | 2689 S Highland Dr, Salt Lake City, UT 84106-2774 | 2012-09-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on CARL ROBERT EDGINGTON.
| 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.