Individual provider Active NPI

Valerie R Bentley, PHD

  • Psychologist
  • Ogden, UT
National Provider Identifier
1912928730
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1145372501 Issued in UT
Practice address
5030 Harrison Blvd
Ogden, UT 84403-4311
Phone
(801) 387-5620
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1145372501 UT Primary

Addresses

Primary practice location

5030 Harrison Blvd
Ogden, UT 84403-4311

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-5620

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
I20040407000535 UT Practitioner - Clinical Psychologist 1850384579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Davis Psychological ServicesGroup PAC ID 0446511927, 17 clinicians

Practice addresses (Care Compare)

520 N Market Place Dr
Suite 200
Centerville, UT 84014-4904
Phone (801) 934-3373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1145372501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
South Davis Psychological Services CurrentSince Jun 10, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 1, 2003 Accepting new patients
Neurorev PLLC CurrentSince Jun 10, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 1, 2012 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 1, 2003 Accepting new patients

Locations

185 S 400 E
Ste 100
Bountiful, UT 84010
Phone (801) 292-5070

520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

Organizations & group practices 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1912928730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-387-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034311",
            "telephone_number": "801-387-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "VALERIE",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "1145372501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.