Alexander Gary Fowler, MS (CLINICAL PSYCH)

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

2948 S Redwood Rd
West Valley City, UT 84119-2323

Phone

(801) 963-4200

NPI assigned

Jun 7, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1013646017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243550",
            "telephone_number": "888-949-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192323",
            "telephone_number": "801-963-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ALEXANDER",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "MS (CLINICAL PSYCH)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Maria Fisk, CM
• Rylie Flavin
• Ellie S Fletcher
• Madison Christina Foisy, PA-C
• Charles Foster
• Roman Fox-Nikolaev
• Heidi Dawn Frandsen
• Hope Franks
• Mark Frasco
• Amy Julianna Frascone

• School Psychologist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• School Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.