MATTHEW V WENNER PHD
NPI 1760409486
Psychologist in Midvale, UT

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1225 FORT UNION BLVD STE 215, MIDVALE, UT 84047(801) 501-4350 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew V Wenner Phd NPPES

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

MATTHEW V WENNER PHD (NPI 1760409486) is an individual psychologist in Midvale, Utah, licensed in Utah (2764342501) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1760409486
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW V WENNERCredential: PHD
Location Address1225 FORT UNION BLVD STE 215Midvale, UT 84047-1882
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 501-4350
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1760409486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in UT · 2764342501
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1225 FORT UNION BLVD STE 215, Midvale, UT 84047

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew V Wenner Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143200915
PECOS Enrollment IDI20040722000446
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Wenner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1225 FORT UNION BLVD, SUITE 215
Midvale, UT 84047
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Psychiatry)
1225 FORT UNION BLVD STE 215
MIDVALE, UT 84047
Social Worker (Clinical)
1225 FORT UNION BLVD STE 215
MIDVALE, UT 84047
Psychiatry & Neurology (Psychiatry)
1225 FORT UNION BLVD STE 215
MIDVALE, UT 84047
Social Worker (Clinical)
1225 FORT UNION BLVD STE 215
MIDVALE, UT 84047

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 Matthew Wenner's NPI number?

The NPI number for Matthew Wenner is 1760409486. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Matthew Wenner located?

Matthew Wenner practices at 1225 Fort Union Blvd Ste 215, Midvale, UT 84047. The listed phone number is (801) 501-4350.

What is Matthew Wenner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Matthew Wenner enrolled in Medicare?

Yes. Matthew Wenner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Matthew Wenner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wenner reassigns Medicare benefits to Ihc Health Services Inc (Midvale, UT). The 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 Matthew Wenner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Wenner accept?

Health plans from Select Health list Matthew Wenner 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 Matthew Wenner was last updated on October 18, 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.