EMMA MANSOUR PHD
NPI 1043611486
Psychologist in Farmington, UT

Active since September 04, 2014PECOS EnrolledAccepts Medicare Assignment
1433 N 1075 W STE 120, FARMINGTON, UT 84025(385) 219-4980 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Aug 13, 2021 (2 updates tracked since 2021).

About Emma Mansour Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA MANSOUR PHD (NPI 1043611486) is an individual psychologist in Farmington, Utah, licensed in Utah (8781073-2501) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2013).

NPPES Registry Identity

NPI1043611486
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameEMMA MANSOURCredential: PHD
Location Address1433 N 1075 W STE 120Farmington, UT 84025-2746
Mailing Address1170 Shepard Crk PkwyFarmington, UT 84025-2851 · (801) 232-1161
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2013
Enumeration DateSeptember 4, 2014
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1043611486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in UT · 8781073-2501
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1433 N 1075 W STE 120, Farmington, UT 84025

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emma Mansour Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072733047
PECOS Enrollment IDI20140926000341
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emma Mansour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
525 E 100 S, SUITE 120
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1433 N 1075 W STE 120
FARMINGTON, UT 84025
Community/Behavioral Health
1433 N 1075 W STE 120
FARMINGTON, UT 84025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Mansour's NPI number?

The NPI number for Emma Mansour is 1043611486. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Emma Mansour located?

Emma Mansour practices at 1433 N 1075 W Ste 120, Farmington, UT 84025. The listed phone number is (385) 219-4980.

What is Emma Mansour's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Emma Mansour enrolled in Medicare?

Yes. Emma Mansour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emma Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Mansour reassigns Medicare benefits to Center For Human Potential Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Mansour accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Emma Mansour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emma Mansour was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.