Active NPI
Gail Joanne Liese, PH.D.
- Clinical Psychologist
- Midvale, UT
National Provider Identifier
1235100413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2708742501
- Practice address
- 7309 S 180 W
Midvale, UT 84047-1020 - Phone
- (801) 565-6800
- Fax
- (801) 569-9718
- NPI assigned
- Jan 27, 2006
- 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 | 2708742501 | UT | Primary |
Addresses
Primary practice location
7309 S 180 W
Midvale, UT 84047-1020
Mailing address
462 S 1100 E
Salt Lake City, UT 84102-3116
Phone (801) 355-7265
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2708742501 | UT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Human Potential Inc | Past | Accepting new patients | |
| Center for Human Potential | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1366679441
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salt Lake City, UT
- NPI 1548239940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235100413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 S 1100 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023116",
"telephone_number": "801-355-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 S 180 W",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471020",
"telephone_number": "801-565-6800",
"fax_number": "801-569-9718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIESE",
"first_name": "GAIL",
"middle_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "2708742501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.