Organization Active NPI

Gary P Sazama PHD Apc

  • Clinical Psychologist
  • Logan, UT
National Provider Identifier
1003014143
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
112064-2504 Issued in UT
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.