1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Psychologist
  6. NPI Profile

DR. RICHARD G. ELLSWORTH PHD
NPI 1598814964
Psychologist - Clinical in Provo, UT

Active since January 08, 2007
3549 N UNIVERSITY AVE - SUITE 200, JAMESTOWN SQUARE -- YORKTOWN BLDG, PROVO, UT 84604(801) 377-2014(801) 374-7449 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2021, Feb 4, 2021 (2 updates tracked since 2021).

About Dr. Richard G. Ellsworth Phd NPPES

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

DR. RICHARD G. ELLSWORTH PHD (NPI 1598814964) is an individual clinical provider in Provo, Utah, licensed in California (PSY10083) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1598814964
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RICHARD G. ELLSWORTHCredential: PHD
Location Address3549 N UNIVERSITY AVE - SUITE 200, JAMESTOWN SQUARE -- YORKTOWN BLDGProvo, UT 84604-4417
Mailing Address1392 Turf Farm Way Ste 1-134Payson, UT 84651-5587 · (661) 609-0341
Phone(801) 377-2014
Fax(801) 374-7449
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1598814964 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 CA · PSY10083
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.
3549 N UNIVERSITY AVE - SUITE 200, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 2

Other11211945-2501UT · State License
OtherPSY10083CA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Richard Ellsworth's NPI number?

The NPI number for Richard Ellsworth is 1598814964. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Richard Ellsworth located?

Richard Ellsworth practices at 3549 N University Ave - Suite 200 Jamestown Square -- Yorktown Bldg, Provo, UT 84604. The listed phone number is (801) 377-2014.

What is Richard Ellsworth's specialty?

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

What insurance does Richard Ellsworth accept?

Health plans from Providence Health Plan list Richard Ellsworth 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 Richard Ellsworth was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.