Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JUERGEN ERICH KORBANKA PHD
NPI 1386600450
Psychologist - Clinical in Provo, UT

Q: What is Juergen Korbanka's NPI number?

The NPI number for Juergen Korbanka is 1386600450. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Juergen Korbanka'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 Juergen Korbanka was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 April 26, 2006

750 NORTH 200 WEST, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Juergen Erich Korbanka Phd NPPES

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

MR. JUERGEN ERICH KORBANKA PHD (NPI 1386600450) is an individual clinical provider in Provo, Utah, licensed in Utah (3217522501) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1386600450

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JUERGEN ERICH KORBANKACredential: PHD

Location Address750 NORTH 200 WESTProvo, UT 84601

Mailing Address750 North 200 WestProvo, UT 84601 · (801) 373-4760 · Fax (801) 373-0639

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1386600450 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 · 3217522501

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.

750 NORTH 200 WEST, Provo, UT 84601

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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.

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