DAVID BRENT TATE PH.D.
NPI 1093992711
Psychologist - Counseling in St George, UT

Active since January 24, 2008PECOS Enrolled
321 N MALL DR, SUITE I-201, ST GEORGE, UT 84790(435) 656-0506(435) 272-4009 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Brent Tate Ph.d. NPPES

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

DAVID BRENT TATE PH.D. (NPI 1093992711) is an individual counseling provider in St George, Utah, licensed in Utah (289126-2501) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1093992711
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDAVID BRENT TATECredential: PH.D.
Location Address321 N MALL DR, SUITE I-201St George, UT 84790-7302
Mailing Address321 N Mall Dr, Suite I-201St George, UT 84790-7302 · (435) 656-0506 · Fax (435) 272-4009
Fax(435) 272-4009
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 24, 2008
Last NPPES UpdateNovember 3, 2016
✔ NPI 1093992711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in UT · 289126-2501
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
321 N MALL DR, St George, UT 84790

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Brent Tate Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830184514
PECOS Enrollment IDI20040421000246
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 David Tate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
321 N MALL DR, SUITE I-201
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
256 services26 patients

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
321 N MALL DR
ST GEORGE, UT 84790
Hearing Aid Equipment
321 N MALL DR, STE 102
ST GEORGE, UT 84790
Social Worker (Clinical)
321 N MALL DR, SUITE I-102
ST GEORGE, UT 84790
Hospice Care, Community Based
321 N MALL DR, SUITE R277
ST GEORGE, UT 84790
Massage Therapist
321 N MALL DR, BLDG I #102
ST GEORGE, UT 84790
Marriage & Family Therapist
321 N MALL DR
ST GEORGE, UT 84790
Social Worker (Clinical)
321 N MALL DR
SAINT GEORGE, UT 84790
Health Maintenance Organization
321 N MALL DR, #P101
ST GEORGE, UT 84790

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 David Tate's NPI number?

The NPI number for David Tate is 1093992711. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Where is David Tate located?

David Tate practices at 321 N Mall Dr Suite I-201, St George, UT 84790. The listed phone number is (435) 656-0506.

What is David Tate's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is David Tate enrolled in Medicare?

Yes. David Tate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Tate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Tate reassigns Medicare benefits to David B Tate Phd LLC (St George, 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 David Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Tate was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.