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

UTAH CENTER FOR PSYCHOLOGICAL SERVICES
NPI 1417659186
Psychologist - Clinical in West Jordan, UT

Q: What is Utah Center For Psychological Services's specialty?

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

Active since March 20, 2023

6787 S REDWOOD RD, WEST JORDAN, UT 84084(801) 839-5360(801) 683-6672 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Nov 20, 2024, Mar 20, 2023 (3 updates tracked since 2023).

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About Utah Center For Psychological Services NPPES

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

UTAH CENTER FOR PSYCHOLOGICAL SERVICES (NPI 1417659186) is a healthcare organization registered as a clinical in West Jordan, Utah and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Salt Lake City and lists Casey Mangnall, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1417659186

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameUTAH CENTER FOR PSYCHOLOGICAL SERVICES

Location Address6787 S REDWOOD RDWest Jordan, UT 84084-2404

Mailing Address14 W State St # 84758Orderville, UT 84758-8001 · (801) 839-5360 · Fax (801) 683-6672

Phone(801) 839-5360

Fax(801) 683-6672

Organization SubpartNo

Authorized OfficialCasey MangnallLicensed Psychologist · (801) 839-5360

Enumeration DateMarch 20, 2023

Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1417659186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

6787 S REDWOOD RD, West Jordan, UT 84084

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Secondary Practice Location 1

Location 1715 E 3900 S Ste 211Salt Lake City, UT 84107-2553 · Phone (801) 839-5360 · Fax (801) 683-6672

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Utah Center For Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Utah Center For Psychological Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Casey Mangnall, PSYD

Clinical Psychologist

NPI 1740739804

1300 E CENTER ST
Provo, UT 84606

(801) 344-4400

✔ PECOS✔ Accepts Medicare32 mi

Marci Haines, PSYD

Clinical Psychologist

NPI 1992457402

8966 W YUKON DR
Peoria, AZ 85382

(623) 680-6461

✔ PECOS✔ Accepts Medicare480 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Utah Center For Psychological Services's NPI number?

The NPI number for Utah Center For Psychological Services is 1417659186. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Utah Center For Psychological Services located?

Utah Center For Psychological Services is located at 6787 S Redwood Rd, West Jordan, UT 84084. The listed phone number is (801) 839-5360.

What is Utah Center For Psychological Services's specialty?

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

Is Utah Center For Psychological Services enrolled in Medicare?

Yes. Utah Center For Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Utah Center For Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Utah Center For Psychological Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Utah Center For Psychological Services accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Utah Center For Psychological Services 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 Utah Center For Psychological Services was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.