Paul G Binks, PHD
Individual provider Active NPI Clinical Psychologist · South Jordan, UT
NPI 1821037359 · NPPES record last updated Jul 22, 2009
Key facts
- NPI
- 1821037359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301010097 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010097 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Care, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5897985-2501 | UT | |
| Clinical Psychologist | 103TC0700X | 6301010097 | MI | Yes |
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
Other providers in South Jordan, UT
- Eliza Betteridge
- Irene Isaza Bevan
- Nathan Bexfield
- Vanessa Bikhazi
- Heather Billeter
- Brian Bird
- Birdhouse Motherhood Classes
- Bishr Younis MD PLLC
- Anngelique Janet Bizzaro
- Rebecca Marie Bjorkman
All providers in South Jordan, UT · Clinical Psychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.