Individual provider Active NPI

John Marcus Rector, PH.D

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1629442835
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
273919-2501 Issued in UT
Practice address
4505 S Wasatch Blvd
#190
Salt Lake City, UT 84124-4709
Phone
(208) 206-1533
NPI assigned
Nov 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 273919-2501 UT Primary

Addresses

Primary practice location

4505 S Wasatch Blvd
#190
Salt Lake City, UT 84124-4709

Mailing address

4505 S Wasatch Blvd
#190
Salt Lake City, UT 84124-4709
Phone (208) 206-1533

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
I20181217001880 UT Practitioner - Clinical Psychologist 4880939008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

389 S 900
Salt Lake City, UT 84102-2310
Phone (385) 282-2400

454 E Medical Way
Heber City, UT 84032-1391
Phone (435) 654-2500

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

750 Round Valley Dr
Park City, UT 84060-7549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Sep 9, 2018 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 9, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

750 Round Valley Dr
Ste 202
Park City, UT 84060
Phone (435) 649-7680

750 Round Valley Dr
Ste 101
Park City, UT 84060
Phone (435) 200-6890

750 Round Valley Dr
Ste 201
Park City, UT 84060
Phone (435) 649-7640

2720 Homestead Rd
Ste 100
Park City, UT 84098
Phone (435) 940-9400

5770 S 250 E
Ste 300
Salt Lake City, UT 84107
Phone (801) 314-2500

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

Organizations & group practices 3

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1629442835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD",
            "address_2": "#190",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244709",
            "telephone_number": "208-206-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD",
            "address_2": "#190",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244709",
            "telephone_number": "208-206-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECTOR",
        "first_name": "JOHN",
        "middle_name": "MARCUS",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "273919-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.