Individual provider Active NPI

David Newbold, PHD

  • Clinical Psychologist
  • Clearfield, UT
National Provider Identifier
1831376037
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
112204-2501 Issued in UT
Practice address
370 S 500 E
Suite 180
Clearfield, UT 84015-4057
Phone
(801) 776-1954
Fax
(801) 774-9602
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 112204-2501 UT Primary

Addresses

Primary practice location

370 S 500 E
Suite 180
Clearfield, UT 84015-4057

Mailing address

PO Box 212
Kaysville, UT 84037-0212
Phone (801) 776-1954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000181 UT Practitioner - Clinical Psychologist 5092892067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

370 S 500
Suite 180
Clearfield, UT 84015-4058
Phone (801) 776-1954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1831376037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840370212",
            "telephone_number": "801-776-1954",
            "fax_number": "801-774-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S 500 E",
            "address_2": "SUITE 180",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840154057",
            "telephone_number": "801-776-1954",
            "fax_number": "801-774-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "DAVID",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "112204-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

Verify at the official NPI Registry.