NPIMap

Individual provider Active NPI

Ty Juan Markham, PSYD

  • Clinical Neuropsychologist
  • Torrey, UT
National Provider Identifier
1285799254
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
270973-2501 Issued in UT
Practice address
87 W. Main St.
Torrey, UT 84775
Phone
(435) 491-0230
Fax
(801) 581-6243
NPI assigned
Dec 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 270973-2501 UT Primary
Psychologist 103T00000X 270973-2501 UT
Adult Development & Aging Psychologist 103TA0700X 270973-2501 UT
Cognitive & Behavioral Psychologist 103TB0200X 270973-2501 UT
Clinical Psychologist 103TC0700X 270973-2501 UT
Counseling Psychologist 103TC1900X 270973-2501 UT
Family Psychologist 103TF0000X 270973-2501 UT
Group Psychotherapy Psychologist 103TP2701X 270973-2501 UT
Rehabilitation Psychologist 103TR0400X 270973-2501 UT

Addresses

Primary practice location

87 W. Main St.
Torrey, UT 84775

Mailing address

150 N. Center St.
P.O. Box 750337
Torrey, UT 84775
Phone (435) 491-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
270973-2501UTMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285799254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N. CENTER ST.",
            "address_2": "P.O. BOX 750337",
            "city": "TORREY",
            "state": "UT",
            "postal_code": "84775",
            "telephone_number": "435-491-0230",
            "fax_number": "801-581-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W. MAIN ST.",
            "city": "TORREY",
            "state": "UT",
            "postal_code": "84775",
            "telephone_number": "435-491-0230",
            "fax_number": "801-581-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "TY",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "270973-2501",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "UT",
            "license": "270973-2501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrey, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.