Active NPI
Gary L Devries, PHD
- Psychologist
- Ogden, UT
National Provider Identifier
1245251065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 111569-2501
- Practice address
- 5030 Harrison Blvd
Ogden, UT 84403-4311 - Phone
- (801) 387-5620
- Fax
- (801) 475-1621
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 111569-2501 | UT | Primary |
Addresses
Primary practice location
5030 Harrison Blvd
Ogden, UT 84403-4311
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-5620
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447459200000",
"number": "1245251065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-387-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034311",
"telephone_number": "801-387-5620",
"fax_number": "801-475-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "GARY",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2015-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "111569-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.