Active NPI
Gary P Sazama PHD Apc
- Clinical Psychologist
- Logan, UT
National Provider Identifier
1003014143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 112064-2504
- Legal business name
- GARY P SAZAMA PHD APC
- Practice address
- 150 E 200 N
Suite O
Logan, UT 84321-6602 - Phone
- (435) 752-8010
- NPI assigned
- Jul 10, 2007
- Last updated
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole Anderson
- Title
- Office Manager
- Phone
- (435) 752-8010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 112064-2504 | UT | Primary |
Addresses
Primary practice location
150 E 200 N
Suite O
Logan, UT 84321-6602
Mailing address
150 E 200 N Ste O
Logan, UT 84321-4036
Phone (435) 752-8010
National Provider Directory
National Provider DirectoryLocations
150 E 200 N
Ste O
Logan, UT 84321
Phone (435) 752-8010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1003014143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 200 N STE O",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214036",
"telephone_number": "435-752-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E 200 N",
"address_2": "SUITE O",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216602",
"telephone_number": "435-752-8010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY P SAZAMA PHD APC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "435-752-8010"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "112064-2504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.