DR. RICK ANTHONY CRUZ (NPI# 1063044865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063044865 |
| Entity Type | Individual |
| Full Name | DR. RICK ANTHONY CRUZ |
| Credential | PH.D. |
| Practice Address |
6405 Old Main Hill Logan UT 84322-6405 |
| Mailing Address |
1034 Thrushwood Dr Logan UT 84321-4828 |
| Practice Telephone | 4357973401 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
9369974-2501 | UT | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
9369974-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
6405 OLD MAIN HILL |
| City | LOGAN |
| State | UT |
| Zip Code | 84322-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114136637 | Ryan B Seedall | Marriage & Family Therapist | 6405 Old Main Hill, Logan, UT 84322-6405 | 2007-05-21 |
| 1710592498 | Jacqueline Guymon | Speech-Language Pathologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2020-09-10 |
| 1891331203 | Katelyn W Oliver | Social Worker | 6405 Old Main Hill, Logan, UT 84322-6405 | 2019-11-20 |
| 1629619010 | Utah State University | Behavioral Analyst | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-10-07 |
| 1417500273 | Mckenna Christy Voorhees | Dietitian, Registered | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-07-22 |
| 1346805066 | Maryellen Katherine Brunson Mcclain | Psychologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-05-08 |
| 1447715701 | Utah State University | Specialist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-01-31 |
| 1255840021 | Michael Esteban Gerald | Counselor | 6405 Old Main Hill, Logan, UT 84322-6405 | 2017-09-25 |
| 1851812564 | Dakota Pond | Social Worker | 6405 Old Main Hill, Logan, UT 84322-8004 | 2017-07-03 |
| 1477091650 | Gary Tyler Lefevor | Psychologist | 6405 Old Main Hill, Logan, UT 84322-1624 | 2017-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
| 1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
| 1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
| 1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
| 1356373807 | Utah State University, Center for Persons With Disabilities | Day Training, Developmentally Disabled Services | 6810 Old Main Hl, Logan, UT 84322-0001 | 2006-07-07 |
| 1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
| Find all providers in zip 84322 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346805066 | Maryellen Katherine Brunson Mcclain | Psychologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-05-08 |
| 1467656900 | Clinton E. Field | Psychologist | 1350 N 500 E, Logan, UT 84341-2400 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1477913762 | Lisa Daniels | Psychologist | 4568 S Highland Dr Ste 260b, Salt Lake City, UT 84117-4236 | 2016-02-29 |
| 1609146091 | Parents Helping Parents | Psychologist | 11175 S Redwood Road, South Jordan, UT 84095-8208 | 2012-01-03 |
| 1356620264 | Tara Sharifan | Psychologist | 505 S Main St Ste 209, Bountiful, UT 84010-6398 | 2011-08-09 |
| 1386945566 | Annie Michol Deming | Psychologist | 5770 S 1500 W # G, Salt Lake City, UT 84123-5216 | 2010-11-04 |
| 1932421161 | Quinten J. Harvey | Psychologist | 4164 Open Crest Dr, South Jordan, UT 84095-7701 | 2010-02-15 |
| 1588829634 | Carla J Reyes | Psychologist | 4568 S Highland Dr Ste 100, Salt Lake City, UT 84117-4234 | 2008-07-28 |
| 1588871321 | Corinna Anne Porter | Psychologist | 90 West 200 South, Suite 2, Heber City, UT 84032 | 2007-05-17 |
| 1871640953 | Jared Scott Warren | Psychologist | 1190 North 900 East, 291 John Taylor Building, Byu, Provo, UT 84602-8626 | 2007-01-04 |
| 1265592083 | Fenster Corp. | Psychologist | 4505 Wasatch Blvd Ste 380, Salt Lake City, UT 84124-4733 | 2006-12-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.