Organization Active NPI

Early Life Child Psychology & Education Center, Inc.

  • Psychologist
  • South Jordan, UT
National Provider Identifier
1548510092
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
75389702501 Issued in UT
Legal business name
EARLY LIFE CHILD PSYCHOLOGY & EDUCATION CENTER, INC.
Practice address
10808 S River Front Pkwy Ste 314
South Jordan, UT 84095-5761
Phone
(801) 984-2877
Fax
(801) 790-0139
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Frances Thompson, PSY.D
Title
President
Phone
(801) 984-2877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 75389702501 UT Primary

Addresses

Primary practice location

10808 S River Front Pkwy Ste 314
South Jordan, UT 84095-5761

Mailing address

10808 S River Front Pkwy Ste 314
South Jordan, UT 84095-5761
Phone (801) 984-2877

National Provider Directory

National Provider Directory

Locations

10808 S River Front Pkwy
Ste 314
South Jordan, UT 84095
Phone (801) 984-2877

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1548510092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 314",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955761",
            "telephone_number": "801-984-2877",
            "fax_number": "801-790-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 314",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955761",
            "telephone_number": "801-984-2877",
            "fax_number": "801-790-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY LIFE CHILD PSYCHOLOGY & EDUCATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-984-2877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "75389702501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.