NPIMap

Organization Active NPI

Precision Psychological Services PLLC

  • Clinical Psychologist
  • Holladay, UT
National Provider Identifier
1124677547
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PRECISION PSYCHOLOGICAL SERVICES PLLC
Practice address
2040 E Murray Holladay Rd Ste 220
Holladay, UT 84117-5123
Phone
(801) 679-3106
Fax
(385) 695-2407
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Megan Michelle Bowen, PHDNPI 1295144905
Title
Owner
Phone
(801) 918-4418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2040 E Murray Holladay Rd Ste 220
Holladay, UT 84117-5123

Mailing address

2040 E Murray Holladay Rd Ste 220
Holladay, UT 84117-5123
Phone (801) 679-3106

National Provider Directory

National Provider Directory

Locations

2040 E Murray Holladay Rd
Ste 220
Salt Lake City, UT 84117
Phone (801) 679-3106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1124677547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 220",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175123",
            "telephone_number": "801-679-3106",
            "fax_number": "385-695-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 220",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175123",
            "telephone_number": "801-679-3106",
            "fax_number": "385-695-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-918-4418",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.