Individual provider Active NPI

Paul G Binks, PHD

  • Clinical Psychologist
  • South Jordan, UT
National Provider Identifier
1821037359
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301010097 Issued in MI
Practice address
2888 Rock Creek Dr
South Jordan, UT 84095-7946
Phone
(801) 502-9552
Fax
(801) 253-8094
NPI assigned
Jun 6, 2006
Last updated
Jul 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5897985-2501 UT
Clinical Psychologist 103TC0700X 6301010097 MI Primary

Addresses

Primary practice location

2888 Rock Creek Dr
South Jordan, UT 84095-7946

Mailing address

2888 Rock Creek Dr
South Jordan, UT 84095-7946
Phone (801) 502-9552

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301010097MIMDClinical Psychologist
5897985-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Care, Inc. Past 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1821037359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 ROCK CREEK DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957946",
            "telephone_number": "801-502-9552",
            "fax_number": "801-253-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 ROCK CREEK DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957946",
            "telephone_number": "801-502-9552",
            "fax_number": "801-253-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKS",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "5897985-2501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.