Individual provider Active NPI

Nicole Leigh Zenger, PH.D.

  • Clinical Psychologist
  • Provo, UT
National Provider Identifier
1710258470
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
74634492501 Issued in UT
Practice address
3325 N University Ave
Suite 350
Provo, UT 84604-4465
Phone
(801) 899-3977
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 74634492501 UT Primary

Addresses

Primary practice location

3325 N University Ave
Suite 350
Provo, UT 84604-4465

Mailing address

3325 N University Ave
Suite 350
Provo, UT 84604-4465
Phone (801) 899-3977

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
I20260317003423 UT Practitioner - Clinical Psychologist 2264916386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neural EffectsGroup PAC ID 3072927094, 4 clinicians

Practice addresses (Care Compare)

320 River Park Dr
Suite 255
Provo, UT 84604-6065
Phone (801) 616-3675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74634492501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neural Effects CurrentSince Mar 1, 2026 Accepting new patients

Locations

320 River Park Dr
Ste 255
Provo, UT 84604
Phone (385) 203-0246

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1710258470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE 350",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-899-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE 350",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-899-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENGER",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "74634492501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.