Wasatch Psychological Consultants

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

114801-2501 Issued in UT

Legal business name

WASATCH PSYCHOLOGICAL CONSULTANTS

Practice address

136 Heber Ave
Suite 204
Park City, UT 84060-5131

Phone

(435) 647-2911

NPI assigned

Sep 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John R Taylor, PHDNPI 1659431401

Title

Psychologist

Phone

(435) 647-2911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Taylor, PHD

  • Clinical Psychologist
  • Park City, UT
  • NPI 1659431401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283731200000",
    "number": "1841507308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HEBER AVE",
            "address_2": "SUITE 204",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605131",
            "telephone_number": "435-647-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HEBER AVE",
            "address_2": "SUITE 204",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605131",
            "telephone_number": "435-647-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PSYCHOLOGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2010-09-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "435-647-2911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "114801-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Grey Walter
• Alison Warcup
• Wasatch Crest Treatment Services
• Wasatch NP House Calls LLC
• Wasatch Physical Therapy & Sports Medicine at Park City
• Edward Robert Wassman Jr., M.D.
• Michael Watkins
• Jan Watts, PT
• We Healthy LLC
• Shannon Weaver, LCSW

• Adult Mental Health Clinic/Center in Park City, UT
• Providers in Park City, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.