Heath Dean Granley, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

49566692501 Issued in UT

Practice address

517 S Orem Blvd # 204
Orem, UT 84058-3101

Phone

(801) 361-7104

NPI assigned

Nov 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mac Granley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1073689840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 W 1090 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033896",
            "telephone_number": "801-361-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S OREM BLVD # 204",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840583101",
            "telephone_number": "801-361-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANLEY",
        "first_name": "HEATH",
        "middle_name": "DEAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-25",
        "last_updated": "2024-10-08",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "4956669-2501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "49566692501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAC",
            "last_name": "GRANLEY",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Orem, UT
• Providers in Orem, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.