David B Tate PHD LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2891262501 Issued in UT

Legal business name

DAVID B TATE PHD LLC

Practice address

321 N Mall Dr
Suite I-201
St George, UT 84790-7323

Phone

(435) 656-0506

Fax

(435) 272-4009

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

David Brent Tate, PHDNPI 1093992711

Title

Owner

Phone

(435) 656-0506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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

• David Brent Tate, PH.D.

  • Counseling Psychologist
  • St George, UT
  • NPI 1093992711
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1407308737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DR",
            "address_2": "SUITE I-201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907323",
            "telephone_number": "435-656-0506",
            "fax_number": "435-272-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR",
            "address_2": "SUITE I-201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907323",
            "telephone_number": "435-656-0506",
            "fax_number": "435-272-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B TATE PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-656-0506",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "2891262501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Dawn Dastrup
• Brian Davenport
• Brian Douglas Davenport, DNP
• Daniel R Davenport
• David a Debenham MD PC
• David C. Boorman, MD, PC
• Christopher Noel David, ACMHC
• Armadeus Davidson, PA-S
• Daniel G Davie, MD
• Diana Davie

• Counseling Psychologist in St George, UT
• Providers in St George, UT by specialty
• Counseling Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.