CTR SUPPORTS
NPI 1497254304
Psychologist - Cognitive & Behavioral in South Jordan, UT

Active since February 06, 2018
10182 S CAMPDEN CT, SOUTH JORDAN, UT 84009(801) 788-4988(801) 206-3588 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ctr Supports NPPES

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

CTR SUPPORTS (NPI 1497254304) is a healthcare organization registered as a cognitive & behavioral in South Jordan, Utah and active in the NPI registry since February 2018. The organization lists Cobilynn R Dickinson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497254304
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameCTR SUPPORTS
Location Address10182 S CAMPDEN CTSouth Jordan, UT 84009-7109
Mailing Address10182 S Campden CtSouth Jordan, UT 84009-7109
Fax(801) 206-3588
Organization SubpartNo
Authorized OfficialCobilynn R DickinsonExecutive Director · (801) 450-3164
Enumeration DateFebruary 6, 2018
NPI 1497254304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
10182 S CAMPDEN CT, South Jordan, UT 84009

Other Identifiers 4

Other325706-2501UT · License Psychologist
Other325706-2506UT · Behavior Analyst
Other12195372Caqh
Medicaid1658550246UT

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

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 Ctr Supports's NPI number?

The NPI number for Ctr Supports is 1497254304. It was assigned to this organization in the NPPES registry on February 6, 2018.

Where is Ctr Supports located?

Ctr Supports is located at 10182 S Campden Ct, South Jordan, UT 84009. The listed phone number is (801) 788-4988.

What is Ctr Supports's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Ctr Supports was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.