LAWRENCE ANTHONY CARCELLI (NPI# 1720141435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720141435 |
| Entity Type | Individual |
| Full Name | LAWRENCE ANTHONY CARCELLI |
| Credential | PH.D. |
| Practice Address |
425 E 5350 S 370 Ogden UT 84405-6946 |
| Mailing Address |
Po Box 150307 Ogden UT 84403 |
| Practice Telephone | 8013171884 |
| Practice Fax Number | 8014798286 |
| Mailing Telephone | 8013171884 |
| Mailing Fax Number | 8014798286 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 871138852501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
425 E 5350 S 370 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589145 | Susan C Hustad | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6990 | 2005-06-21 |
| 1477852994 | James W Starley Md A Professional Corporation | Specialist | 425 E 5350 S, 425, Ogden, UT 84405-6946 | 2011-03-23 |
| 1669643920 | Frank Tilaro Internal Medicine PC | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2008-03-14 |
| 1467637926 | Ogden Ear Nose & Throat PC | Otolaryngology | 425 E 5350 S, Suite 130, Ogden, UT 84405-6946 | 2008-01-03 |
| 1639350705 | Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 E 5350 S, Suite #350, Ogden, UT 84405-6946 | 2007-11-16 |
| 1205032190 | Seth R Lewis Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-26 |
| 1912102997 | Elena L Goncharova Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-19 |
| 1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
| 1447470893 | Susan C Hustad Md, PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-04-26 |
| 1467514059 | James W Starley | Obstetrics & Gynecology | 425 E 5350 S, Ste 125, Ogden, UT 84405 | 2006-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063741429 | Ricky D. Hawks | Psychologist | 5677 S 1475 E, Suite 4a, Ogden, UT 84403-7032 | 2009-12-15 |
| 1932291846 | Cher Lynn King | Psychologist | 3544 Lincoln Ave Ste G, Ogden, UT 84401-4034 | 2006-09-28 |
| 1841306214 | Craig K Swaner | Psychologist | 3326 Eccles Ave, Ogden, UT 84403-1214 | 2006-08-21 |
| 1336110568 | Brian Dion Petrovich | Psychologist | 1186 E 4600 S, Ogden, UT 84403-4332 | 2006-01-27 |
| 1861497554 | Paul Caldarella | Psychologist | 1117 Country Hills Dr, Ste 8, Ogden, UT 84403-2467 | 2005-06-17 |
| 1083273817 | Tayler M Wayment | Psychologist | 3903 Harrison Blvd Ste 300, Ogden, UT 84403-2362 | 2019-06-05 |
| 1629401690 | James Alan Bird | Psychologist | 237 26th St, Ogden, UT 84401-3105 | 2013-08-14 |
| 1386941425 | Catharina Kang PC | Psychologist | 4699 Harrison Blvd, Ste 301, Ogden, UT 84403-4396 | 2011-02-25 |
| 1245251065 | Gary L Devries | Psychologist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
| 1912928730 | Valerie R Bentley | Psychologist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
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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.