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DR. SAMUEL ROBERT STORK PSY.D
NPI 1295459485
Psychologist - Clinical in Salt Lake City, UT

Active since September 30, 2022
500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Robert Stork Psy.d NPPES

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

DR. SAMUEL ROBERT STORK PSY.D (NPI 1295459485) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (12453627-2501) and active in the NPI registry since September 2022. He maintains a secondary practice location in Cottonwood Heights.

NPPES Registry Identity

NPI1295459485
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL ROBERT STORKCredential: PSY.D
Location Address500 FOOTHILL DRSalt Lake City, UT 84148-0001
Mailing Address7198 S Nutree DrCottonwood Heights, UT 84121-4427 · (614) 634-6603
Phone(801) 582-1565
Sole ProprietorNo
Enumeration DateSeptember 30, 2022
NPPES CertifiedSeptember 30, 2022
✔ NPI 1295459485 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 · 12453627-2501
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.

500 FOOTHILL DR, Salt Lake City, UT 84148
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Secondary Practice Location 1

Location 17198 S Nutree DrCottonwood Heights, UT 84121-4427 · Phone (614) 634-6603

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.

HUNTER BULLOCK MLS(ASCP)
Technician, Pathology (Medical Laboratory)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
NICOLAS HORTENSI
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MALLORY SPEAKMAN
Registered Nurse
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
FAITH FUENTES FNP-BC
Nurse Practitioner (Family)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 891-8638
MR. MICHAEL THOMAS STEVENSON LCSW
Social Worker (Clinical)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. LAWRENCE DIXON APRN
Nurse Practitioner (Gerontology)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
THOMAS ALAN GOOD LANCE WHITE BULL CPHT
Pharmacy Technician
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
CLAYTON HAMILTON PHARMD
Pharmacist
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (406) 270-7185

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 Samuel Stork's NPI number?

The NPI number for Samuel Stork is 1295459485. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Where is Samuel Stork located?

Samuel Stork practices at 500 Foothill Dr, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Samuel Stork'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 Samuel Stork was last updated on September 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.