Luke Marvin

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10036165-2501 Issued in UT

Practice address

95 S 100 E Ste 300
Payson, UT 84651-2253

Phone

(801) 382-9338

Fax

(801) 383-0246

NPI assigned

Nov 1, 2013

Last updated

Oct 27, 2022By the provider in NPPES

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Complete Evaluations LLCGroup PAC ID 9335491588, 7 clinicians

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.

• Complete Evaluations LLC

  • Psychologist
  • Payson, UT
  • NPI 1962994590
  Medicare reassignment Care Compare group NPD Authorized official
• David R. Albrecht O.D. P.C.

  dba EyeTown

  • Optometrist
  • Beaver, UT
  • NPI 1962845032
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1316376270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S 100 E STE 300",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512253",
            "telephone_number": "801-382-9338",
            "fax_number": "801-383-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S 100 E STE 300",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512253",
            "telephone_number": "801-382-9338",
            "fax_number": "801-383-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "10036165-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Luquin
• Kyle Lynn, PHARM D
• William Craig Madsen, D.D.S.
• Christie Mangelson, FNP
• Nictehai Martinez
• Keith S Mattinson, DDS
• Roxanna Maurer, CPM, LDEM
• Chris Brent McClellan, RPH
• Bowman McCullough, ACMHC
• Renny Theodore McDaniel, M.D., M.P.H.

• Psychologist in Payson, UT
• Providers in Payson, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.