SOUTH DAVIS PSYCHOLOGICAL SERVICES (NPI# 1881043487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881043487 |
| Entity Type | Organization |
| Organization Name | SOUTH DAVIS PSYCHOLOGICAL SERVICES |
| Practice Address |
240 N East Promontory Ste 200 Farmington UT 84025-2950 |
| Mailing Address |
1155 Lakeview Dr Bountiful UT 84010-1909 |
| Practice Telephone | 8019343373 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DR. JONATHAN AHERN (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8019343373 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386142396 | South Davis Psychological Services | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-01-24 |
| Street Address |
240 N EAST PROMONTORY STE 200 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760670962 | Emily Young Bullock | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2007-10-12 |
| 1588153522 | Aimee Danielle Sanders | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-05-04 |
| 1386142396 | South Davis Psychological Services | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-01-24 |
| 1821474016 | Sandra Chacon | Counselor | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275682 | Talya Steinberg | Psychologist | 4109 Old Mission Rd, Farmington, NM 87401-2346 | 2015-01-15 |
| 1447506621 | Alisa Anne O'riley | Psychologist | 1130 Willow Brook Bnd, Farmington, NY 14425-9064 | 2012-07-25 |
| 1306144944 | Michael James Moravecek | Psychologist | 24 Woods Run, Farmington, CT 06032-2731 | 2011-03-07 |
| 1073818175 | Diane W Williams Psyd PC D/b/a Integrative Mental Health | Psychologist | 3001 Northridge Dr Ste A, Farmington, NM 87401-2084 | 2011-01-20 |
| 1346574589 | Amy C Beaulieu | Psychologist | 3 Forest Park Dr, Farmington, CT 06032-1468 | 2009-09-21 |
| 1164665253 | Sandra Scantling | Psychologist | 778 Farmington Ave, Farmington, CT 06032-2342 | 2009-04-20 |
| 1952554040 | Aaron Michael Shepherd | Psychologist | 38345 West 10 Mile Road Suite 150, Farmington, MI 48335 | 2008-11-03 |
| 1679724256 | Michaelene Renee Ruhl | Psychologist | 33335 Grand River Ave, Farmington, MI 48336-3194 | 2008-10-01 |
| 1982869152 | Kimberly S.b. Corey | Psychologist | 1 Oakland Ave, Farmington, CT 06032-1720 | 2008-07-27 |
| 1346256591 | David Coron | Psychologist | 6137 County Road 41, Farmington, NY 14425-8931 | 2006-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on SOUTH DAVIS PSYCHOLOGICAL SERVICES.
| 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.