David Fawcett, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

7693790-3904 Issued in UT

Practice address

5667 S Redwood Rd
Suite #6B
Taylorsville, UT 84123-5433

Phone

(801) 979-1351

NPI assigned

Dec 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopeful Beginnings

  • Community/Behavioral Health Agency
  • Taylorsville, UT
  • NPI 1134465909
  NPD (past)

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1043556038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 E 3000 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092037",
            "telephone_number": "801-484-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 S REDWOOD RD",
            "address_2": "SUITE #6B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235433",
            "telephone_number": "801-979-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "DAVID",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "7693790-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kylie Jo Fehrman, OTR
• Kimberly Felion
• Madeline Feltenberger

• Marriage & Family Therapist in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.