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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: July 19, 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
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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 ›

Reviews for DR. RICHARD G. ELLSWORTH PHD

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Frequently Asked Questions

What is Richard Ellsworth's NPI number?

The NPI number assigned to this healthcare provider is 1598814964, enumerated as an "individual" on January 08, 2007.

Where is the provider located?

The provider is located at 3549 N UNIVERSITY AVE - SUITE 200 JAMESTOWN SQUARE -- YORKTOWN BLDG PROVO, UT 84604 and the phone number is (801) 377-2014.

What is the provider's specialty?

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

What insurance does Richard Ellsworth accept?

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.