SHANE D. STOWELL (NPI# 1740503150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740503150 |
| Entity Type | Individual |
| Full Name | SHANE D. STOWELL |
| Credential | PSY.D. |
| Practice Address |
412 W 800 N Orem UT 84057-3728 |
| Mailing Address |
283 E 930 S Orem UT 84058-5001 |
| Practice Telephone | 8012357246 |
| Mailing Telephone | 8012256246 |
| Mailing Fax Number | 8012251525 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7369628-2501-250 | UT | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
7369628-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
7369628-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
7369628-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
2369628-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
412 W 800 N |
| City | OREM |
| State | UT |
| Zip Code | 84057-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952332223 | Karee Michelle Yates | Nurse Practitioner | 412 W 800 N, Orem, UT 84057-3728 | 2006-07-05 |
| 1366929671 | Tracy E Brown | Psychologist | 412 W 800 N, Orem, UT 84057-3728 | 2018-07-19 |
| 1790239671 | Robert Reynolds Harkness | Nurse Practitioner | 412 W 800 N, Orem, UT 84057-3728 | 2016-08-09 |
| 1699148197 | Ihc Health Services Inc | Physical Medicine & Rehabilitation | 412 W 800 N, Orem, UT 84057-3728 | 2015-11-05 |
| 1831490598 | Elizabeth Louise Baker | Psychologist | 412 W 800 N, Orem, UT 84057-3728 | 2010-11-11 |
| 1710037213 | Jean Stanford | Physician Assistant | 412 W 800 N, Orem, UT 84057-3728 | 2007-01-10 |
| 1760596175 | Paul S Rosser | Nurse Practitioner | 412 W 800 N, Orem, UT 84057-3728 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| 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 |
|---|---|---|---|---|
| 1548517493 | Candice Waltrip | Psychologist | 721 N 530 E, Orem, UT 84097-4105 | 2012-08-09 |
| 1902092356 | Thomas Milburn Brown IIi | Psychologist | 1788 North State Street, Orem, UT 84057 | 2007-09-19 |
| 1205038528 | Marina Alicia Money | Psychologist | 1453 N 1200 W, Orem, UT 84057-2449 | 2007-06-01 |
| 1942422001 | Diagnostic Specialists Inc | Psychologist | 1170 N 660 W, Orem, UT 84057-3020 | 2007-05-02 |
| 1457420531 | A. Lynn Scoresby & Associates | Psychologist | 703 S State St, Suite #1, Orem, UT 84058-6326 | 2006-11-06 |
| 1073545463 | Bradley Lynn Edgington | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-07-07 |
| 1821554049 | Mt Grove Counseling | Psychologist | 222 W 540 N, Orem, UT 84057-6631 | 2019-02-12 |
| 1346780194 | Infinity Psychological Services, Pllc | Psychologist | 721 N 530 E, Orem, UT 84097-4105 | 2017-02-27 |
| 1134558091 | Kersti Spjut | Psychologist | 1453 N 1200 W, Orem, UT 84057-2449 | 2013-11-01 |
| 1205115276 | John Michio Suyama | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2011-08-09 |
| Find all providers in OREM | ||||
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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.