Individual provider Active NPI

Steve Debois, PH.D.

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1780916270
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4968561-2501 Issued in UT
Practice address
603 6TH Ave
Salt Lake City, UT 84103-3045
Phone
(801) 541-9861
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4968561-2501 UT Primary

Addresses

Primary practice location

603 6TH Ave
Salt Lake City, UT 84103-3045

Mailing address

603 6TH Ave
Salt Lake City, UT 84103-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4968561-2501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
2N Wilderness LLC Current Accepting new patients

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1780916270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 6TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 6TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033045",
            "telephone_number": "801-541-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOIS",
        "first_name": "STEVE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "4968561-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.