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DR. GARY YOUNG LARSEN PH.D.
NPI 1548292972
Psychologist - Clinical in Council Bluffs, IA

Active since July 07, 2006
601 WILLOW AVE, COUNCIL BLUFFS, IA 51501(712) 323-1728(712) 323-8888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Young Larsen Ph.d. NPPES

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

DR. GARY YOUNG LARSEN PH.D. (NPI 1548292972) is an individual clinical provider in Council Bluffs, Iowa, licensed in Iowa (116) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1548292972
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GARY YOUNG LARSENCredential: PH.D.
Location Address601 WILLOW AVECouncil Bluffs, IA 51501-4242
Mailing Address601 Willow AveCouncil Bluffs, IA 51501-4242 · (712) 323-1728 · Fax (712) 323-8888
Phone(712) 323-1728
Fax(712) 323-8888
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548292972 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 IA · 116
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.
601 WILLOW AVE, Council Bluffs, IA 51501
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Other Identifiers 3

Medicare UPINRO3183IA
Medicaid0100495IA
Medicare ID-Type UnspecifiedI3640IA

Other Providers at the Same Location NPPES 2

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

MR. RICHARD OLIVER MATLAND MSW, LISW
Counselor (Mental Health)
601 WILLOW AVE
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-1728
THE WILLOW GROUP, P.C.
Counselor (Mental Health)
601 WILLOW AVE
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-1728

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 Gary Larsen's NPI number?

The NPI number for Gary Larsen is 1548292972. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Gary Larsen located?

Gary Larsen practices at 601 Willow Ave, Council Bluffs, IA 51501. The listed phone number is (712) 323-1728.

What is Gary Larsen'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 Gary Larsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.