Active NPI
Joseph Fair, PH.D.
- Psychologist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9469684-2501
- Practice address
- 750 N Freedom Blvd
Provo, UT 84601-1677 - Phone
- (801) 373-4760
- Fax
- (801) 373-0639
- NPI assigned
- Aug 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9469684-2501 | UT | Primary |
Addresses
Primary practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9469684-2501 | UT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Behavioral Health Special Service District | Current | Accepting 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 | |
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients | |
| Yakima Neuropsychology PLLC | Current | Accepting new patients | |
| Resolutions, Inc. | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
98 N 1100 E
Ste 103
American Fork, UT 84003
Phone (801) 492-2330
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1157 N 300 W
Ste 201
Provo, UT 84604
Phone (801) 357-1200
1157 N 300 W
Provo, UT 84604
Phone (801) 357-1200
750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Yakima, WA
- NPI 1720918436
-
- Family Medicine Physician
- Park City, UT
- NPI 1831454446
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Community/Behavioral Health Agency
- Provo, UT
- NPI 1356357115
-
- Clinical Medical Laboratory
- Orem, UT
- NPI 1669257556
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Counselor
- Bountiful, UT
- NPI 1457790081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1376919381",
"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",
"telephone_number": "801-373-4760",
"fax_number": "801-373-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N FREEDOM BLVD",
"city": "PROVO",
"state": "UT",
"postal_code": "846011677",
"telephone_number": "801-373-4760",
"fax_number": "801-373-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "9469684-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.