David L Paulson, MD
Individual provider Active NPI Psychiatry Physician · Orem, UT
NPI 1740252196 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1740252196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 5166088-1205 (UT)
- Practice address
- 361 E 1200 S
Suite 201
Orem, UT 84058-6904 - Phone
- (801) 224-3014
- Fax
- (801) 224-4914
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Utah School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Behavioral Psychiatry, LLC
Ihc Health Services Inc
Practice addresses (Care Compare)
361 E 1200
Suite 201
Orem, UT 84058-6904
Phone (801) 224-3014
395 W Bulldog Blvd
Suite 601
Provo, UT 84604-3331
Phone (801) 357-7525
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050126001198 | UT | Practitioner - Psychiatry | 8628028669 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Alliance Behavioral Psychiatry, LLC | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Alliance Behavioral Psychology, LLC | Past |
Accepting new patients |
Locations
2135 W Main St
Ste B207
Lehi, UT 84043
Phone (801) 224-3014
361 E 1200 S
Ste 201
Orem, UT 84058
Phone (801) 224-3014
395 W Cougar Blvd
Ste 601
Provo, UT 84604
Phone (801) 357-7525
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5166088-1205 | UT | Yes |
Addresses
Primary practice location
361 E 1200 S
Suite 201
Orem, UT 84058-6904
Mailing address
361 E 1200 S Ste 201
Orem, UT 84058-6904
Phone (018) 224-3014
Other practice location 1
2135 W Main St Ste B207
Lehi, UT 84043-6937
Phone (801) 224-3014
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.