DR. SHELLEY RENEE UPTON PHD, LP
NPI 1285291427
Psychologist - Clinical in Logan, UT

Q: What is Shelley Upton's NPI number?

The NPI number for Shelley Upton is 1285291427. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Q: What is Shelley Upton's specialty?

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

Q: Is Shelley Upton enrolled in Medicare?

No. Shelley Upton has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shelley Upton was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 23, 2019Opted out of Medicare · through Mar 4, 2028

6405 OLD MAIN HILL, LOGAN, UT 84322(435) 797-0576 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2021, May 23, 2019 (2 updates tracked since 2019).

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About Dr. Shelley Renee Upton Phd, Lp NPPES

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

DR. SHELLEY RENEE UPTON PHD, LP (NPI 1285291427) is an individual clinical provider in Logan, Utah, licensed in Utah (12149595-2501) and active in the NPI registry since May 2019. She has opted out of Medicare through March 4, 2028.

NPPES Registry Identity

NPI1285291427

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHELLEY RENEE UPTONCredential: PHD, LP

Location Address6405 OLD MAIN HILLLogan, UT 84322-2057

Mailing Address288 E 1530 NNorth Logan, UT 84341-7521 · (704) 699-1231

Phone(435) 797-0576

Sole ProprietorNo

Enumeration DateMay 23, 2019

Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration

NPPES CertifiedJuly 19, 2021

✔ NPI 1285291427 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 · 12149595-2501

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.

6405 OLD MAIN HILL, Logan, UT 84322

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shelley Renee Upton Phd, Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2026 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2026

Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JAKOB THOMAS NEWLON

Counselor (Mental Health)