Active NPI
Paul Anthony Gore Jr., PH.D.
- Counseling Psychologist
- Salt Lake City, UT
National Provider Identifier
1891817060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6252651-2501
- Practice address
- 1705 Campus Center Dr
University of Utah
Salt Lake City, UT 84112-9299 - Phone
- (801) 581-7233
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6252651-2501 | UT | Primary |
Addresses
Primary practice location
1705 Campus Center Dr
University of Utah
Salt Lake City, UT 84112-9299
Mailing address
2786 McKinley Cir
Taylorsville, UT 84084-5303
Phone (801) 581-7233
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6252651-2501 | UT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891817060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2786 MCKINLEY CIR",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "840845303",
"telephone_number": "801-581-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 CAMPUS CENTER DR",
"address_2": "UNIVERSITY OF UTAH",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841129299",
"telephone_number": "801-581-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "6252651-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.