Individual provider Active NPI

Robert Frederick Pramann Jr.

  • Clinical Psychologist
  • Midvale, UT
National Provider Identifier
1487622908
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
114495-2501 Issued in UT
Practice address
193 E Fort Union Blvd Ste 201
Midvale, UT 84047-5543
Phone
(801) 268-1564
Fax
(801) 268-1565
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 114495-2501 UT Primary

Addresses

Primary practice location

193 E Fort Union Blvd Ste 201
Midvale, UT 84047-5543

Mailing address

193 E Fort Union Blvd Ste 201
Midvale, UT 84047-5543
Phone (801) 268-1564

Other names 1

  • Rob Pramann Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111212000222 UT Practitioner - Clinical Psychologist 4385672450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

193 E Fort Union Blvd
Suite 201
Midvale, UT 84047-5543
Phone (801) 268-1564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherds Staff Christian Counseling Center Inc Clinical CurrentSince Jan 1, 1998 Accepting new patients

Locations

193 E Fort Union Blvd
Ste 201
Midvale, UT 84047
Phone (801) 268-1564

575 23rd St
Ogden, UT 84401
Phone (801) 268-1564

404 E 4500 S
Ste B22
Salt Lake City, UT 84107
Phone (801) 268-1564

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1487622908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 E FORT UNION BLVD STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475543",
            "telephone_number": "801-268-1564",
            "fax_number": "801-268-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 E FORT UNION BLVD STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475543",
            "telephone_number": "801-268-1564",
            "fax_number": "801-268-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAMANN",
        "first_name": "ROBERT",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "114495-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROB",
            "last_name": "PRAMANN",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.