DR. BRADLEY LYNN EDGINGTON (NPI# 1073545463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073545463 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY LYNN EDGINGTON |
| Credential | PHD |
| Practice Address |
363 E 1200 S Suite 201 Orem UT 84058-6904 |
| Practice Telephone | 8012242313 |
| Practice Fax Number | 8012244475 |
| Mailing Telephone | 8012242313 |
| Mailing Fax Number | 8012244475 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 86-1137332501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366588295 | Bradley D Edgington | Internal Medicine | 1725 E 19th St Ste 200, Tulsa, OK 74104 | 2007-01-29 |
| Street Address |
363 E 1200 S SUITE 201 |
| City | OREM |
| State | UT |
| Zip Code | 84058-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205115276 | John Michio Suyama | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2011-08-09 |
| 1881829679 | Heather Dyeann Hoyal | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2009-05-21 |
| 1568645539 | Family Psych Services | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2007-12-12 |
| 1851583710 | Alliance Behavioral Psychology, LLC | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2007-08-15 |
| 1407977903 | Jon Bullock Skidmore | Psychologist | 363 E 1200 S, Orem, UT 84058-6904 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548517493 | Candice Waltrip | Psychologist | 721 N 530 E, Orem, UT 84097-4105 | 2012-08-09 |
| 1902092356 | Thomas Milburn Brown IIi | Psychologist | 1788 North State Street, Orem, UT 84057 | 2007-09-19 |
| 1205038528 | Marina Alicia Money | Psychologist | 1453 N 1200 W, Orem, UT 84057-2449 | 2007-06-01 |
| 1942422001 | Diagnostic Specialists Inc | Psychologist | 1170 N 660 W, Orem, UT 84057-3020 | 2007-05-02 |
| 1457420531 | A. Lynn Scoresby & Associates | Psychologist | 703 S State St, Suite #1, Orem, UT 84058-6326 | 2006-11-06 |
| 1821554049 | Mt Grove Counseling | Psychologist | 222 W 540 N, Orem, UT 84057-6631 | 2019-02-12 |
| 1346780194 | Infinity Psychological Services, Pllc | Psychologist | 721 N 530 E, Orem, UT 84097-4105 | 2017-02-27 |
| 1134558091 | Kersti Spjut | Psychologist | 1453 N 1200 W, Orem, UT 84057-2449 | 2013-11-01 |
| 1205115276 | John Michio Suyama | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2011-08-09 |
| 1316250640 | Robert Virgil Dindinger | Psychologist | 703 S State St, Suite 1, Orem, UT 84058-6326 | 2010-07-15 |
| Find all providers in OREM | ||||
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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.