Active NPI
Lyndsey Evans
- Psychologist
- Bountiful, UT
National Provider Identifier
1053870626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11264142-2501
- Practice address
- 415 Medical Dr Ste D101
Bountiful, UT 84010-8905 - Phone
- (801) 683-1062
- Fax
- (801) 295-5537
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Psychologist | 103T00000X | 11264142-2501 | UT | Primary |
Addresses
Primary practice location
415 Medical Dr Ste D101
Bountiful, UT 84010-8905
Mailing address
415 Medical Dr Ste D101
Bountiful, UT 84010-8905
Other practice location 1
370 E South Temple Ste 175
Salt Lake City, UT 84111-1241
Phone (801) 683-1062
Other practice location 2
327 W Gordon Ave Ste 2
Layton, UT 84041-2381
Phone (801) 683-1062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Morrell Hughes PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Layton, UT
- NPI 1003124256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1053870626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MEDICAL DR STE D101",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108905",
"fax_number": "801-295-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MEDICAL DR STE D101",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108905",
"telephone_number": "801-683-1062",
"fax_number": "801-295-5537"
}
],
"practiceLocations": [
{
"address_1": "370 E South Temple Ste 175",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841111241",
"country_code": "US",
"telephone_number": "801-683-1062",
"fax_number": "801-295-5537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "327 W Gordon Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840412381",
"country_code": "US",
"telephone_number": "801-683-1062",
"fax_number": "801-295-5537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "LYNDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2021-01-14",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "11264142-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.