Active NPI
John Perkins
- Psychologist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 13571858-2501
- Practice address
- 322 E 6TH Ave
Salt Lake City, UT 84103-2728 - Phone
- (612) 590-0600
- NPI assigned
- May 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 13571858-2501 | UT | Primary |
Addresses
Primary practice location
322 E 6TH Ave
Salt Lake City, UT 84103-2728
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Other practice location 1
222 SE 8th Ave Ste 212
Hillsboro, OR 97123-4218
Phone (503) 352-7333
Other practice location 2
500 Foothill Dr
Salt Lake City, UT 84148-1677
Phone (801) 582-1565
Other practice location 3
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 University Park Blvd
Layton, UT 84041-1611
Phone (801) 387-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13571858-2501 | UT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Pacific University | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
435 N Main St
Kaysville, UT 84037
Phone (801) 498-6000
2075 University Park Blvd
Layton, UT 84041
Phone (801) 367-2775
500 Foothill Blvd
Slc, UT 84148
Phone (801) 584-1206
745 S 2000 W
Syracuse, UT 84075
Phone (801) 525-2400
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Medical Center CV Hospitalists
- Hospitalist Physician
- Murray, UT
- NPI 1235664251
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Adult Mental Health Clinic/Center
- Hillsboro, OR
- NPI 1700256989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1265097216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N FREEDOM BLVD",
"city": "PROVO",
"state": "UT",
"postal_code": "846011677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 E 6TH AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032728",
"telephone_number": "612-590-0600"
}
],
"practiceLocations": [
{
"address_1": "222 SE 8th Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971234218",
"country_code": "US",
"telephone_number": "503-352-7333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Foothill Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841481677",
"country_code": "US",
"telephone_number": "801-582-1565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 N Freedom Blvd",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846011677",
"country_code": "US",
"telephone_number": "801-373-4760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKINS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "13571858-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.