RANDAL S PENNINGTON PSYD
NPI 1801903786
Psychologist - Clinical in Provo, UT

Q: What is Randal Pennington's NPI number?

The NPI number for Randal Pennington is 1801903786. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Randal Pennington's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randal Pennington 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.

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment

750 NORTH 200 WEST, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Randal S Pennington Psyd NPPES

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

RANDAL S PENNINGTON PSYD (NPI 1801903786) is an individual clinical provider in Provo, Utah, licensed in Utah (49478942501) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1801903786

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRANDAL S PENNINGTONCredential: PSYD

Location Address750 NORTH 200 WESTProvo, UT 84601

Mailing Address750 North 200 WestProvo, UT 84601 · (801) 373-4760 · Fax (801) 373-0639

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801903786 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 UT · 49478942501

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.

750 NORTH 200 WEST, Provo, UT 84601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Randal S Pennington Psyd 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 ID345275582

PECOS Enrollment IDI20050927001020

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 Reassignments

Medicare enrollment records show Randal Pennington reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wasatch Behavioral Health Special Service District

0.7 mi

Community/Behavioral Health

750 N FREEDOM BLVD, SUITE 300
Provo, UT 84601

Reassigned Medicare billing, Utah enrollment
141 clinicians in this Medicare group

NPI 1356357115 (801) 373-4760

Spinal Interventions, PLLC

4.7 mi

Pain Medicine

280 WEST RIVER PARK DR, STE 200
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
11 clinicians in this Medicare group

NPI 1053336917 (801) 223-4860

Riverwoods Behavioral Health PC

4.8 mi

Mental Health

5314 RIVER RUN DR STE 350
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
2 clinicians in this Medicare group

NPI 1417488040 (801) 787-9855

Sailor Health Medical PA

2,064 mi

Psychologist

2332 GALIANO ST FL 2
Coral Gables, FL 33134

Reassigned Medicare billing, Utah enrollment
8 clinicians in this Medicare group

NPI 1841012960 (786) 269-0333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ANICK E B MALMSTROM LPC

Counselor (Professional)