Canyon Ridge Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CANYON RIDGE PSYCHOLOGY LLC

Practice address

455 N University Ave Ste 201
Provo, UT 84601-2867

Phone

(801) 252-5122

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Lefrandt, PHDNPI 1962127357

Title

Licensed Psychologist

Phone

(801) 252-5122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jason Lefrandt, PHD

  • Psychologist
  • Payson, UT
  • NPI 1962127357
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1841022795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N UNIVERSITY AVE STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012867",
            "telephone_number": "801-252-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N UNIVERSITY AVE STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012867",
            "telephone_number": "801-252-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIDGE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "LEFRANDT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-252-5122",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.