NPIMap

Organization Active NPI

Associated Clinical & Counseling Psychologists

  • Clinical Psychologist
  • Taylorsville, UT
National Provider Identifier
1679540751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11181 Issued in UT
Legal business name
ASSOCIATED CLINICAL & COUNSELING PSYCHOLOGISTS
Practice address
5691 S Redwood Rd
Suite 15
Taylorsville, UT 84123-5322
Phone
(801) 281-4084
Fax
(801) 281-4083
NPI assigned
Mar 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Alan Dodgion, PH.D.NPI 1538137328
Title
President
Phone
(801) 281-4084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 11181 UT Primary

Addresses

Primary practice location

5691 S Redwood Rd
Suite 15
Taylorsville, UT 84123-5322

Mailing address

5691 S Redwood Rd
Suite 15
Taylorsville, UT 84123-5322
Phone (801) 281-4084

National Provider Directory

National Provider Directory

Locations

5691 S Redwood Rd
Unit 15
Taylorsville, UT 84123
Phone (801) 281-0060

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679540751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD",
            "address_2": "SUITE 15",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235322",
            "telephone_number": "801-281-4084",
            "fax_number": "801-281-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD",
            "address_2": "SUITE 15",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235322",
            "telephone_number": "801-281-4084",
            "fax_number": "801-281-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CLINICAL & COUNSELING PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DODGION",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-281-4084",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "11181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.