Active NPI
David Brent Tate, PH.D.
- Counseling Psychologist
- St George, UT
National Provider Identifier
1093992711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 289126-2501
- Practice address
- 321 N Mall Dr
Suite I-201
St George, UT 84790-7302 - Phone
- (435) 656-0506
- Fax
- (435) 272-4009
- NPI assigned
- Jan 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 289126-2501 | UT | Primary |
Addresses
Primary practice location
321 N Mall Dr
Suite I-201
St George, UT 84790-7302
Mailing address
321 N Mall Dr
Suite I-201
St George, UT 84790-7302
Phone (435) 656-0506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
321 N Mall Dr
Suite I201
St George, UT 84790-7323
Phone (435) 656-0506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David B Tate PHD LLC | Counseling | Current | Accepting new patients |
| Center for Stress Reduction, Inc. | Counseling | Past | Accepting new patients |
| Behavioral Health Services | Past | Accepting new patients |
Locations
321 N Mall Dr
Ste I201
St George, UT 84790
Phone (435) 574-2995
Organizations & group practices 3
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.
-
- Counseling Psychologist
- St George, UT
- NPI 1407308737
-
- Counseling Psychologist
- St George, UT
- NPI 1477610541
-
- Clinical Psychologist
- Layton, UT
- NPI 1144204926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1093992711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N MALL DR",
"address_2": "SUITE I-201",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907302",
"telephone_number": "435-656-0506",
"fax_number": "435-272-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N MALL DR",
"address_2": "SUITE I-201",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907302",
"telephone_number": "435-656-0506",
"fax_number": "435-272-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "DAVID",
"middle_name": "BRENT",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "289126-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.