Patrick Joseph Lewis, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9289374-2501 Issued in UT

Practice address

275 E South Temple
Ste 150
Salt Lake City, UT 84111-1270

Phone

(314) 398-2351

Fax

(801) 853-8237

NPI assigned

Jul 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Novum Psychotherapy, PC

  • Psychologist
  • Salt Lake City, UT
  • NPI 1437666054
  Medicare reassignment Authorized official
• High Desert Psychology and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evanston, WY
  • NPI 1194226266
  NPD
• Great Salt Lake Wellness Inc

  • Clinical Psychologist
  • Kaysville, UT
  • NPI 1790152940
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1275846412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E SOUTH TEMPLE",
            "address_2": "APT 8C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021272",
            "telephone_number": "314-398-2351",
            "fax_number": "801-853-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE",
            "address_2": "STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111270",
            "telephone_number": "314-398-2351",
            "fax_number": "801-853-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "9289374-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Lewis
• Michelle Lewis, LCSW
• Morris N. Lewis Jr., PHD
• Natalie S Lewis
• Neva P Lewis, LCSW
• Paula Lewis
• Rhideon Lewis
• Stephen Charles Lewis, OD
• Suzanne Lewis, M.S., R.D.,C.D.
• Theresa Lewis

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.

Verify at the official NPI Registry.