Organization Active NPI

Mountain West Psychology Services

  • Clinical Psychologist
  • Kaysville, UT
National Provider Identifier
1285099846
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30838252501 Issued in UT
Legal business name
MOUNTAIN WEST PSYCHOLOGY SERVICES
Practice address
265 N Main St Ste D173
Kaysville, UT 84037-1401
Phone
(801) 476-9616
Fax
(801) 476-6990
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Kent E Nabers, PHDNPI 1649248683
Title
Owner
Phone
(801) 476-6916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 30838252501 UT Primary

Addresses

Primary practice location

265 N Main St Ste D173
Kaysville, UT 84037-1401

Mailing address

265 N Main St Ste D173
Kaysville, UT 84037-1401
Phone (801) 476-6916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128002315 UT Part B Supplier - Clinic/Group Practice 8224328554 Receives reassigned benefits from 1 practitioner
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Locations

265 N Main St
Ste D173
Kaysville, UT 84037
Phone (801) 476-9616

920 Chambers St
Ste 17
South Ogden, UT 84403
Phone (801) 476-6916

972 Chambers St
Ste 5
South Ogden, UT 84403
Phone (801) 476-6916

920 Chambers St
South Ogden, UT 84403

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1285099846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST STE D173",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371401",
            "telephone_number": "801-476-6916",
            "fax_number": "801-476-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST STE D173",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371401",
            "telephone_number": "801-476-9616",
            "fax_number": "801-476-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST PSYCHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "NABERS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-476-6916",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "30838252501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.