UTAH STATE UNIVERSITY
NPI 1811058076
Psychologist - Clinical in Logan, UT

Q: What is Utah State University's NPI number?

The NPI number for Utah State University is 1811058076. It was assigned to this organization in the NPPES registry on December 12, 2006.

Q: What is Utah State University's specialty?

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

Active since December 12, 2006

2810 OLD MAIN HL, LOGAN, UT 84322(435) 797-3401(435) 797-1448 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Utah State University NPPES

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

UTAH STATE UNIVERSITY (NPI 1811058076) is a healthcare organization registered as a clinical in Logan, Utah and active in the NPI registry since December 2006. The organization lists Kathy J. Reck, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811058076

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameUTAH STATE UNIVERSITY

Location Address2810 OLD MAIN HLLogan, UT 84322-2810

Mailing Address2810 Old Main HlLogan, UT 84322-2810 · (435) 797-3401 · Fax (435) 797-1448

Phone(435) 797-3401

Fax(435) 797-1448

Organization SubpartNo

Authorized OfficialKathy J. ReckOffice Manager · (435) 797-2032

Enumeration DateDecember 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1811058076 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 · 5805022-2501

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.

2810 OLD MAIN HL, Logan, UT 84322

Open in Google Maps ↗

Other Identifiers 1

Other5805022250001UT · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

GRETCHEN GIMPEL PEACOCK

Psychologist

2810 OLD MAIN HL, DEPARTMENT OF PSYCHOLOGY
LOGAN, UT 84322

Cache County (435) 797-0721

DR. MELANIE MARIE DOMENECH RODRIGUEZ PH.D.

Psychologist

2810 OLD MAIN HL, DPT. OF PSYCHOLOGY
LOGAN, UT 84322

Cache County (435) 797-3059

UTAH STATE UNIVERSITY

Psychologist