GRETCHEN GIMPEL PEACOCK (NPI# 1104858695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104858695 |
| Entity Type | Individual |
| Full Name | GRETCHEN GIMPEL PEACOCK |
| Practice Address |
2810 Old Main Hl Department of Psychology Logan UT 84322-2810 |
| Practice Telephone | 4357970721 |
| Practice Fax Number | 4357971448 |
| Mailing Telephone | 4357970721 |
| Mailing Fax Number | 4357971448 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 326646-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407924343 | Gretchen H Peacock | Counselor | 115 Habersham Dr, Fayetteville, GA 30214 | 2006-11-30 |
| Street Address |
2810 OLD MAIN HL DEPARTMENT OF PSYCHOLOGY |
| City | LOGAN |
| State | UT |
| Zip Code | 84322-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146223 | Rebecca Kate Blais | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2016-11-02 |
| 1972730117 | Carolyn Gay Barcus | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2009-06-15 |
| 1568581056 | Michael Scott Deberard | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2007-03-28 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1407983315 | Susan Crowley | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2007-02-27 |
| 1811058076 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2006-12-12 |
| 1285666784 | Melanie Marie Domenech Rodriguez | Psychologist | 2810 Old Main Hl, Dpt. of Psychology, Logan, UT 84322-2810 | 2006-07-07 |
| 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 |
| 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 |
| 1710592498 | Jacqueline Guymon | Speech-Language Pathologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2020-09-10 |
| Find all providers in zip 84322 | ||||
| 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 |
|---|---|---|---|---|
| 1922523844 | David E Christian Phd PC | Psychologist | 629 S 575 W, Logan, UT 84321-5162 | 2017-08-11 |
| 1558697805 | Marilynne Glatfelter | Psychologist | 786 N 1500 E, Logan, UT 84321-4358 | 2009-10-21 |
| 1558452003 | Roueida Ghadban | Psychologist | 90 East 200 North, Bear River Mental Health, Logan, UT 84321 | 2006-09-28 |
| 1164748729 | Kyle Max Hancock | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2010-04-07 |
| 1972730117 | Carolyn Gay Barcus | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2009-06-15 |
| 1104003599 | Krystal Gail Stollings | Psychologist | 506 Holly Ave, Logan, WV 25601-3306 | 2008-01-28 |
| 1134326689 | Graca Maria De Oliveira Costa | Psychologist | 90 E 200 N, Logan, UT 84321-4034 | 2007-06-28 |
| 1346390267 | Cassie Ward | Psychologist | 306 Main St, Logan, WV 25601-3906 | 2007-01-11 |
| 1740330943 | Psychological Associates of Logan | Psychologist | 306 Main St, Logan, WV 25601-3906 | 2007-01-11 |
| 1417038530 | Kenneth George Weigand | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2006-10-17 |
| Find all providers in LOGAN | ||||
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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.