ALEX GARRETT ERTL PSY.D.
NPI 1386194280
Psychologist in Draper, UT

Active since October 04, 2016Opted out of Medicare · through Jan 1, 2027
248 E 13800 S, #4, DRAPER, UT 84020(801) 816-1801(801) 501-0249 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alex Garrett Ertl Psy.d. NPPES

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

ALEX GARRETT ERTL PSY.D. (NPI 1386194280) is an individual psychologist in Draper, Utah, licensed in Utah (10039833-2504) and active in the NPI registry since October 2016. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1386194280
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameALEX GARRETT ERTLCredential: PSY.D.
Location Address248 E 13800 S, #4Draper, UT 84020-5010
Mailing Address248 E 13800 S, #4Draper, UT 84020-5010 · (801) 816-1801 · Fax (801) 501-0249
Fax(801) 501-0249
Sole ProprietorNo
Enumeration DateOctober 4, 2016
Last NPPES UpdateApril 23, 2019
NPI 1386194280 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 · 10039833-2504
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.
248 E 13800 S, Draper, UT 84020

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Alex Garrett Ertl Psy.d. 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 January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
248 E 13800 S, SUITE 4
DRAPER, UT 84020
Nurse Practitioner (Family)
248 E 13800 S, SUITE 3
DRAPER, UT 84020
Nurse Practitioner (Family)
248 E 13800 S, SUITE 3
DRAPER, UT 84020
Psychologist (Clinical)
248 E 13800 S
DRAPER, UT 84020

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 Alex Ertl's NPI number?

The NPI number for Alex Ertl is 1386194280. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Alex Ertl located?

Alex Ertl practices at 248 E 13800 S #4, Draper, UT 84020. The listed phone number is (801) 816-1801.

What is Alex Ertl's specialty?

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

Is Alex Ertl enrolled in Medicare?

No. Alex Ertl has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Alex Ertl accept?

Health plans from Molina Healthcare and Select Health list Alex Ertl 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 Alex Ertl was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.