Organization Active NPI

Patricia a Lindsay PHD Inc

  • Psychologist
  • Park City, UT
National Provider Identifier
1962659458
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1161882501 Issued in UT
Legal business name
PATRICIA A LINDSAY PHD INC
Practice address
1743 W Redstone Ctr Dr
#115
Park City, UT 84098
Phone
(435) 658-9297
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Patricia A Lindsay, PH.DNPI 1346332244
Title
Owner
Phone
(435) 658-9297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1161882501 UT Primary

Addresses

Primary practice location

1743 W Redstone Ctr Dr
#115
Park City, UT 84098

Mailing address

PO Box 683966
Park City, UT 84068-3966
Phone (435) 658-9297

Other identifiers 1

IdentifierTypeStateIssuer
74005OtherUTMEDICARE ID TYPE, UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090217000019 UT Part B Supplier - Clinic/Group Practice 3274509989 Receives reassigned benefits from 1 practitioner
Practice locations: Park City, UT

National Provider Directory

National Provider Directory

Locations

1743 Redstone Center Dr
Ste 115
Park City, UT 84098
Phone (435) 658-9200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1962659458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683966",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840683966",
            "telephone_number": "435-658-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 W REDSTONE CTR DR",
            "address_2": "#115",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84098",
            "telephone_number": "435-658-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A LINDSAY PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-658-9297",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "1161882501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE, UNSPECIFIED",
            "identifier": "74005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.