NPIMap

Organization Active NPI

Scott W. Fidler, Psy.D.

Doing business as Draper Psychology and Counseling

  • Clinical Psychologist
  • Draper, UT
National Provider Identifier
1760532162
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5338272-2501 Issued in UT
Legal business name
SCOTT W. FIDLER, PSY.D.
Doing business as
Draper Psychology and Counseling
Practice address
12176 S 1000 E Ste 8F
Draper, UT 84020-9734
Phone
(801) 619-3569
Fax
(801) 576-7540
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Dr. Scott William Fidler, PSY.D.NPI 1164589669
Title
Psychologist
Phone
(801) 619-3569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5338272-2501 UT Primary

Addresses

Primary practice location

12176 S 1000 E Ste 8F
Draper, UT 84020-9734

Mailing address

782 Pioneer Rd
Suite D-1
Draper, UT 84020-9300
Phone (801) 619-3569

Other names 1

  • Draper Psychology and Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

12176 S 1000 E
Ste 8F
Draper, UT 84020
Phone (801) 619-3569

668 E 12225 S
Ste 202
Draper, UT 84020
Phone (801) 619-3569

782 E Pioneer Rd
Ste D1
Draper, UT 84020
Phone (801) 619-3569

Practitioners & affiliated clinicians

Practitioners 4

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1760532162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 PIONEER RD",
            "address_2": "SUITE D-1",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209300",
            "telephone_number": "801-619-3569",
            "fax_number": "801-756-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E STE 8F",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209734",
            "telephone_number": "801-619-3569",
            "fax_number": "801-576-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. FIDLER, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-619-3569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "5338272-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draper Psychology and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.