THOMAS C FAIRBANK PHD
NPI 1194709980
Psychologist - Clinical in Layton, UT

Q: What is Thomas Fairbank's NPI number?

The NPI number for Thomas Fairbank is 1194709980. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is Thomas Fairbank's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Fairbank was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 05, 2005

2084 N 1700 W STE 6, LAYTON, UT 84041(801) 773-7177 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Thomas C Fairbank Phd NPPES

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

THOMAS C FAIRBANK PHD (NPI 1194709980) is an individual clinical provider in Layton, Utah, licensed in Utah (109352-2501) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1194709980

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTHOMAS C FAIRBANKCredential: PHD

Location Address2084 N 1700 W STE 6Layton, UT 84041

Mailing Address1767 N 2525 ELayton, UT 84040 · (801) 546-9515

Phone(801) 773-7177

Sole ProprietorNo

Enumeration DateDecember 5, 2005

Last NPPES UpdateOctober 18, 2007

✔ NPI 1194709980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in UT · 109352-2501

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2084 N 1700 W STE 6, Layton, UT 84041

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Other Identifiers 2

Medicare UPINR34250UT

Medicaid870465986000UT

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 Thomas Fairbank's NPI number?

The NPI number for Thomas Fairbank is 1194709980. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Thomas Fairbank located?

Thomas Fairbank practices at 2084 N 1700 W Ste 6, Layton, UT 84041. The listed phone number is (801) 773-7177.

What is Thomas Fairbank's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Thomas Fairbank was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.