Organization Active NPI

Richard King Mower, PH.D.,P.C.

  • Clinical Psychologist
  • Bountiful, UT
National Provider Identifier
1588935134
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
112704-2501 Issued in UT
Legal business name
RICHARD KING MOWER, PH.D.,P.C.
Practice address
505 S Main St
Bountiful, UT 84010-6398
Phone
(801) 292-6101
Fax
(801) 298-5349
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Richard King Mower, PH.D.
Title
Owner
Phone
(801) 292-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 112704-2501 UT Primary

Addresses

Primary practice location

505 S Main St
Bountiful, UT 84010-6398

Mailing address

505 S Main St
Bountiful, UT 84010-6398
Phone (801) 292-6101

Other identifiers 1

IdentifierTypeStateIssuer
529824129002MedicaidUT

National Provider Directory

National Provider Directory

Locations

505 S Main St
North Salt Lake, UT 84010
Phone (435) 881-6028

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1588935134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106398",
            "telephone_number": "801-292-6101",
            "fax_number": "801-298-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106398",
            "telephone_number": "801-292-6101",
            "fax_number": "801-298-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD KING MOWER, PH.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MOWER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-6101",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "112704-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529824129002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.