Individual provider Active NPI

Eden Deanne Steffey, PH.D.

  • School Psychologist
  • Bountiful, UT
National Provider Identifier
1104437110
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
64529 Issued in UT
Practice address
415 Medical Dr Ste D101
Bountiful, UT 84010-8905
Phone
(801) 683-1062
Fax
(801) 295-5537
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
School Psychologist 103TS0200X 64529 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
Phone (801) 683-1062

Other practice location 1

327 W Gordon Ave Ste 2
Layton, UT 84041-2381
Phone (801) 683-1062

Other practice location 2

5974 Fashion Point Dr Ste 100
South Ogden, UT 84403-4840
Phone (801) 683-1062

Other practice location 3

370 E South Temple Ste 175
Salt Lake City, UT 84111-1241
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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
64529UTMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Center for Growth LLC CurrentSince Sep 28, 2015 Accepting new patients
Barbara Morrell Hughes PC PastSince Jun 7, 2010 Accepting new patients

Locations

415 Medical Dr
Ste D101
Bountiful, UT 84010
Phone (201) 683-1062

327 W Gordon Ave
Ste 2
Layton, UT 84041
Phone (385) 342-2808

370 E South Temple
Ste 175
Slc, UT 84111
Phone (385) 299-5683

5974 Fashion Point Dr
Ste 100
South Ogden, UT 84403
Phone (801) 479-9644

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1104437110",
    "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",
            "telephone_number": "801-683-1062",
            "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": "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"
        },
        {
            "address_1": "5974 Fashion Point Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844034840",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "STEFFEY",
        "first_name": "EDEN",
        "middle_name": "DEANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "UT",
            "license": "64529",
            "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 Jul 20, 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.

Verify at the official NPI Registry.