Carl Robert Edgington, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

354718-2501 Issued in UT

Practice address

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855

Phone

(801) 935-4171

Fax

(801) 935-4946

NPI assigned

Jun 17, 2009

Last updated

Jan 23, 2021By 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

Other names 1

• Chuck Edgington Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Psychology Specialists of Utah LLC

  • Clinical Psychologist
  • Centerville, UT
  • NPI 1649860644
  NPD Authorized official
• Lifechange Psychological Services, LLC

  • Clinical Neuropsychologist
  • Oklahoma City, OK
  • NPI 1295250207
  NPD
• Abs Utah, P.C.

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1053821728

  Psychologist

  NPD (past)
• Alternative Behavior Strategies, LLC

  dba ABS Kids

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1962765693
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1427285444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N 600 E",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142020",
            "telephone_number": "405-315-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "801-935-4171",
            "fax_number": "801-935-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NE 13th St",
            "address_2": "Child Study Center",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171039",
            "country_code": "US",
            "telephone_number": "405-271-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 NW 122nd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208816",
            "country_code": "US",
            "telephone_number": "405-562-9260",
            "fax_number": "405-260-9559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E 15th St Ste 500D",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730135045",
            "country_code": "US",
            "telephone_number": "405-562-9260",
            "fax_number": "405-260-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGINGTON",
        "first_name": "CARL",
        "middle_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "354718-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "EDGINGTON",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Elizabeth Eden, MD
• Nicolas Ulrich Edgar
• Edge Medical Services
• Edgewood SLC Ut02 LLC
• Melissa Edgeworth
• Steven Richard Edgley, MD
• Alison Ediger, AU.D.
• Edison Stanford
• Stanley Lee Edison Jr.
• Linda Edlefsen, M.S.

• Clinical Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.