NPIMap

Leonard Jared Haas, PH.D.

Individual provider Active NPI Clinical Psychologist · Salt Lake City, UT

NPI 1154380533 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1154380533
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
00318-2501-4 (UT)
Practice address
375 Chipeta Way
Suite a
Salt Lake City, UT 84108-1260
Phone
(801) 587-3401
Fax
(801) 581-2771
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00318-2501-4UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Sports Med Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00318-2501-4 UT Yes

Addresses

Primary practice location

375 Chipeta Way
Suite a
Salt Lake City, UT 84108-1260

Mailing address

375 Chipeta Way
Suite a
Salt Lake City, UT 84108-1260
Phone (801) 587-3401

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Clinical Psychologist in Utah

Sources for this page

Verify at the official NPI Registry.