Active NPI
Anna Packard, PHD
- Clinical Psychologist
- Orem, UT
National Provider Identifier
1194007047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7778605-2501
- Practice address
- 1790 N State St
Orem, UT 84057-2025 - Phone
- (801) 224-8255
- Fax
- (801) 224-8301
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7778605-2501 | UT | Primary |
Addresses
Primary practice location
1790 N State St
Orem, UT 84057-2025
Mailing address
1790 N State St
Orem, UT 84057-2025
Phone (801) 224-8255
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7778605-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1194007047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840572025",
"telephone_number": "801-224-8255",
"fax_number": "801-224-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840572025",
"telephone_number": "801-224-8255",
"fax_number": "801-224-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKARD",
"first_name": "ANNA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "7778605-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.