DR. JOHN DALE LIVINGSTONE (NPI# 1710123765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710123765 |
| Entity Type | Individual |
| Full Name | DR. JOHN DALE LIVINGSTONE |
| Credential | PH.D. |
| Practice Address |
1355 N University Ave Suite 200 Provo UT 84604-2721 |
| Practice Telephone | 8012210223 |
| Practice Fax Number | 8012210291 |
| Mailing Telephone | 8012210223 |
| Mailing Fax Number | 8012210291 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
4923696-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134516487 | John Livingstone | Counselor | 43 Old Colony Ave, Quincy, MA 02170-2606 | 2015-04-23 |
| 1699712364 | John B Livingstone | Psychiatry & Neurology | 522 Commercial Road Street, Provincetown, MA 02657 | 2006-06-01 |
| 1215427992 | John Paul Livingstone | Orthopaedic Surgery | 1356 Lusitana St Fl 6, Honolulu, HI 96813-2409 | 2018-05-17 |
| 1437649647 | John Paul Livingstone | Physician Assistant | 8188 Us Highway 51 N, Millington, TN 38053-1750 | 2018-05-14 |
| 1841219888 | John N Livingstone II | Psychiatry & Neurology | 12200 Warwick Blvd, Ste 110, Newport News, VA 23601-2548 | 2006-07-19 |
| Street Address |
1355 N UNIVERSITY AVE SUITE 200 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414744 | Traer Gary Caywood | Optometrist | 1355 N University Ave, Suite 100, Provo, UT 84604-2721 | 2005-08-18 |
| 1841834975 | Alec Devlyn Barrow | Counselor | 1355 N University Ave, Provo, UT 84604-2721 | 2019-11-01 |
| 1194388215 | Nathan Sewell | Psychologist | 1355 N University Ave, Provo, UT 84604-2721 | 2019-04-15 |
| 1366970774 | Timothy James Seiter | Optometrist | 1355 N University Ave, Provo, UT 84604-2721 | 2017-05-30 |
| 1588039861 | Steven K. Flick Dmd, PC | Dentist | 1355 N University Ave, 310, Provo, UT 84604-2721 | 2015-12-11 |
| 1366819112 | Summit Foot and Ankle Specialists | Clinic/Center | 1355 N University Ave, Suite 125, Provo, UT 84604-2721 | 2015-08-27 |
| 1326428061 | Garr Foot & Ankle Pllc | Podiatrist | 1355 N University Ave, Ste 125, Provo, UT 84604-2721 | 2015-06-08 |
| 1366830796 | Alicia A Henderson | Psychologist | 1355 N University Ave, Provo, UT 84604-2721 | 2015-01-08 |
| 1497168975 | Provo Dental Care LLC | Clinic/Center | 1355 N University Ave, Suite 330, Provo, UT 84604-2721 | 2014-06-03 |
| 1285980094 | Randy Garr | Podiatrist | 1355 N University Ave, Ste 125, Provo, UT 84604-2721 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871640953 | Jared Scott Warren | Psychologist | 1190 North 900 East, 291 John Taylor Building, Byu, Provo, UT 84602-8626 | 2007-01-04 |
| 1871668665 | James Mitchell Harper | Psychologist | 273 Comprehensive Clinic, Tlrb, Brigham Young University, Provo, UT 84602 | 2006-11-21 |
| 1417487190 | Sean Douglas Seabridge | Psychologist | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-06-15 |
| 1760866008 | Laura Morgan White | Psychologist | 1300 E Center St, Provo, UT 84606-3554 | 2015-07-16 |
| 1770785735 | Olivia Carson | Psychologist | 1165 E 300 N, Provo, UT 84606-3539 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1477913762 | Lisa Daniels | Psychologist | 4568 S Highland Dr Ste 260b, Salt Lake City, UT 84117-4236 | 2016-02-29 |
| 1609146091 | Parents Helping Parents | Psychologist | 11175 S Redwood Road, South Jordan, UT 84095-8208 | 2012-01-03 |
| 1356620264 | Tara Sharifan | Psychologist | 505 S Main St Ste 209, Bountiful, UT 84010-6398 | 2011-08-09 |
| 1386945566 | Annie Michol Deming | Psychologist | 5770 S 1500 W # G, Salt Lake City, UT 84123-5216 | 2010-11-04 |
| 1932421161 | Quinten J. Harvey | Psychologist | 4164 Open Crest Dr, South Jordan, UT 84095-7701 | 2010-02-15 |
| 1588829634 | Carla J Reyes | Psychologist | 4568 S Highland Dr Ste 100, Salt Lake City, UT 84117-4234 | 2008-07-28 |
| 1588871321 | Corinna Anne Porter | Psychologist | 90 West 200 South, Suite 2, Heber City, UT 84032 | 2007-05-17 |
| 1265592083 | Fenster Corp. | Psychologist | 4505 Wasatch Blvd Ste 380, Salt Lake City, UT 84124-4733 | 2006-12-11 |
| 1417038951 | Psychological Assessment & Treatment Specialists, Inc | Psychologist | 814 Bamberger Dr, Suite B, American Fork, UT 84003-2165 | 2006-10-18 |
| 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.