Individual provider Active NPI

Roberto De Giorgio, LAMFT

  • Marriage & Family Therapist
  • Clearfield, UT
National Provider Identifier
1639568967
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
342635-3902 Issued in UT
Practice address
129 S State St Ste 240
Clearfield, UT 84015-1130
Phone
(801) 773-7060
NPI assigned
Jan 9, 2015
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 342635-3902 UT Primary

Addresses

Primary practice location

129 S State St Ste 240
Clearfield, UT 84015-1130

Mailing address

934 S Main St
Layton, UT 84041-7135
Phone (801) 773-7060

Other practice location 1

934 S Main St
Layton, UT 84041-7135
Phone (801) 233-8607

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
I20231220002304 UT Practitioner - Marriage and Family Therapist 5698125458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Behavioral Health Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

129 S State St
Ste 240
Clearfield, UT 84015
Phone 8017737060482

2250 N Robins Dr
Layton, UT 84041
Phone (801) 779-3001

934 S Main St
Layton, UT 84041
Phone (801) 336-1845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639568967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417135",
            "telephone_number": "801-773-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S STATE ST STE 240",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151130",
            "telephone_number": "801-773-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 S Main St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417135",
            "country_code": "US",
            "telephone_number": "801-233-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GIORGIO",
        "first_name": "ROBERTO",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "342635-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

Verify at the official NPI Registry.