Individual provider Active NPI

Joshua G Clauson, PSY.D.

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1255540977
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7634974-2501 Issued in UT
Practice address
699 E South Temple
Ste 120
Salt Lake City, UT 84102-4242
Phone
(801) 419-0401
Fax
(801) 350-9582
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7634974-2501 UT Primary
Clinical Psychologist 103TC0700X 443 WY

Addresses

Primary practice location

699 E South Temple
Ste 120
Salt Lake City, UT 84102-4242

Mailing address

699 E South Temple
Ste 120
Salt Lake City, UT 84102-4242
Phone (801) 419-0401

Other identifiers 1

IdentifierTypeStateIssuer
124216400MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novum Psychotherapy, PC PastSince Dec 5, 2017 Accepting new patients
Chris Wehl, PH.D., Inc. Clinical Past Accepting new patients
Great Salt Lake Wellness Inc Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1255540977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE",
            "address_2": "STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024242",
            "telephone_number": "801-419-0401",
            "fax_number": "801-350-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE",
            "address_2": "STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024242",
            "telephone_number": "801-419-0401",
            "fax_number": "801-350-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSON",
        "first_name": "JOSHUA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "7634974-2501",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124216400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.