Interface Psychological Services, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

831271513501 Issued in UT

Legal business name

INTERFACE PSYCHOLOGICAL SERVICES, INC.

Practice address

508 E South Temple Ste 201
Salt Lake City, UT 84102-1099

Phone

(801) 328-8817

Fax

(801) 366-4284

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Max Foster, LCSWNPI 1972633667

Title

President

Phone

(801) 328-8817

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Max Foster, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1972633667
  Authorized official Same address or phone
• Michelle Murphy, LCSW

  • Counselor
  • Salt Lake City, UT
  • NPI 1720212517
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548338833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021099",
            "telephone_number": "801-328-8817",
            "fax_number": "801-366-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021099",
            "telephone_number": "801-328-8817",
            "fax_number": "801-366-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFACE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-328-8817",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "831271513501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.