Individual provider Active NPI

Hilary Jane Jensen

  • Clinical Psychologist
  • Ogden, UT
National Provider Identifier
1164856217
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8982090-2501 Issued in UT
Practice address
4387 Harrison Blvd Ste C4
Ogden, UT 84403-3270
Phone
(801) 387-4970
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8982090-2501 UT Primary
Clinical Social Worker 1041C0700X UT

Addresses

Primary practice location

4387 Harrison Blvd Ste C4
Ogden, UT 84403-3270

Mailing address

4387 Harrison Blvd Ste C4
Ogden, UT 84403-3270
Phone (801) 387-4970

Other practice location 1

237 26th St
Ogden, UT 84401-3105
Phone (801) 648-3749

Other practice location 2

90 E 200 N
Logan, UT 84321-4034
Phone (435) 752-0750

Other names 1

  • Hilary Jane Broderick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8982090-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1164856217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4387 HARRISON BLVD STE C4",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033270",
            "telephone_number": "801-387-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4387 HARRISON BLVD STE C4",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033270",
            "telephone_number": "801-387-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 26th St",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844013105",
            "country_code": "US",
            "telephone_number": "801-648-3749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 E 200 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843214034",
            "country_code": "US",
            "telephone_number": "435-752-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "HILARY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "8982090-2501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "BRODERICK",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.