Active NPI
David Gambles, PH.D.
- Clinical Psychologist
- West Jordan, UT
National Provider Identifier
1619902079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 317599-2501
- Practice address
- 1323 W 7900 S
Suite 106
West Jordan, UT 84088-7933 - Phone
- (801) 440-5892
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 317599-2501 | UT | Primary |
Addresses
Primary practice location
1323 W 7900 S
Suite 106
West Jordan, UT 84088-7933
Mailing address
3516 W 8070 S
West Jordan, UT 84088-4575
Phone (801) 265-3053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317599-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619902079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3516 W 8070 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840884575",
"telephone_number": "801-265-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 W 7900 S",
"address_2": "SUITE 106",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840887933",
"telephone_number": "801-440-5892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLES",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "317599-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.