Individual provider Active NPI

Aharon David Shulimson, PH.D.

  • Psychologist
  • Murray, UT
National Provider Identifier
1255496931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
116417-2501 Issued in UT
Practice address
5248 Pinemont Dr
Suite C-110
Murray, UT 84123-2702
Phone
(801) 281-3188
Fax
(801) 262-1988
NPI assigned
Dec 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 116417-2501 UT Primary

Addresses

Primary practice location

5248 Pinemont Dr
Suite C-110
Murray, UT 84123-2702

Mailing address

1036 Belmont Ave
Salt Lake City, UT 84105-1407
Phone (801) 524-0134

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000658 UT Practitioner - Clinical Psychologist 6002838018 Practice locations: Midvale, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

193 E Fort Union Blvd
Suite 201
Midvale, UT 84047-5543
Phone (385) 542-2797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116417-2501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aharon D. Shulimson, PH.D. Psychologist Current Accepting new patients
Behavioral Health Services Past Accepting new patients
In Focus Health Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255496931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BELMONT AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051407",
            "telephone_number": "801-524-0134",
            "fax_number": "801-262-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 PINEMONT DR",
            "address_2": "SUITE C-110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232702",
            "telephone_number": "801-281-3188",
            "fax_number": "801-262-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULIMSON",
        "first_name": "AHARON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "116417-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.