Active NPI
Le Q Ngu, PHD
- Clinical Psychologist
- Murray, UT
National Provider Identifier
1245456797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 70577322501
- Practice address
- 5801 S Fashion Blvd Ste 200
Murray, UT 84107-6162 - Phone
- (801) 875-2128
- Fax
- (855) 373-2007
- NPI assigned
- Apr 17, 2007
- Last updated
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 70577322501 | UT | Primary |
Addresses
Primary practice location
5801 S Fashion Blvd Ste 200
Murray, UT 84107-6162
Mailing address
7419 S Creekview CV
Cottonwood Heights, UT 84121-4769
Phone (801) 842-9255
Other practice location 1
1575 W 7000 S
West Jordan, UT 84084-3431
Phone (801) 875-2128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U000074083 | Other | UT | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000235 | UT | Practitioner - Clinical Psychologist | 9234212598 | Practice locations: Murray, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5882 S 900
Suite 104
Murray, UT 84121-5693
Phone (801) 875-2128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70577322501 | UT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le Ngu, Licensed Psychologist | Current | Accepting new patients | |
| Center for Human Potential | Past | Accepting new patients | |
| Center for Human Potential Inc | Past | Accepting new patients |
Networks
- UT PPO D-SNP
- UT PPO
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba InSight Psychological Services
- Mental Health Counselor
- Murray, UT
- NPI 1386254837
-
- 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": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1245456797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7419 S CREEKVIEW CV",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841214769",
"telephone_number": "801-842-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 S FASHION BLVD STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076162",
"telephone_number": "801-875-2128",
"fax_number": "855-373-2007"
}
],
"practiceLocations": [
{
"address_1": "1575 W 7000 S",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840843431",
"country_code": "US",
"telephone_number": "801-875-2128",
"fax_number": "206-337-6197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGU",
"first_name": "LE",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "70577322501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "U000074083",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.