DENNIS J STAKER


Address: 5030 Harrison Blvd, Ogden, UT 84403-4311
Phone: 8013875620

DENNIS J STAKER (NPI# 1255352878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255352878
Entity Type Individual
Full Name DENNIS J STAKER
Credential PHD
Practice Address 5030 Harrison Blvd
Ogden
UT 84403-4311
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013875620
Mailing Telephone 8013875620
Enumeration Date 2006-07-21
Last Update Date 2012-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 49444202501 UT Behavioral Health & Social Service Providers
N 103T00000X Psychologist 49444202501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 5030 HARRISON BLVD
City OGDEN
State UT
Zip Code 84403-4311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588660773 Lee W Bradshaw Clinical Nurse Specialist 5030 Harrison Blvd, Ogden, UT 84403-4311 2005-06-22
1437400447 Jonathan Ahern Psychologist 5030 Harrison Blvd, Ogden, UT 84403-4311 2012-10-01
1497039523 Tyson John Miller Social Worker 5030 Harrison Blvd, Ogden, UT 84403-4311 2011-10-07
1598052375 Sarah Hoffman Nurse Practitioner 5030 Harrison Blvd, Ogden, UT 84403-4311 2011-06-30
1760788160 Bart Steven Sanders Nurse Practitioner 5030 Harrison Blvd, Ogden, UT 84403-4311 2011-02-01
1346568318 Julie Goudie-nice Psychologist 5030 Harrison Blvd, Ogden, UT 84403-4311 2010-05-14
1497990550 Gary V Broadbent Social Worker 5030 Harrison Blvd, Ogden, UT 84403-4311 2008-12-03
1831346170 Bryan B Bushman Psychologist 5030 Harrison Blvd, Ogden, UT 84403-4311 2008-08-19
1720264369 Marie Woodfield Nurse Practitioner 5030 Harrison Blvd, Ogden, UT 84403-4311 2008-01-14
1376731083 Craig French Social Worker 5030 Harrison Blvd, Ogden, UT 84403-4311 2007-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235744632 Megan Louise Larkins Specialist/Technologist 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 2020-09-11
1154959062 Joshua Clifford Hansen Student in an Organized Health Care Education/Training Program 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 2020-03-28
1346895935 Positional Release Therapy Institute LLC Specialist/Technologist 1702 E. 5600 S., Ogden, UT 84403 2019-08-09
1841842077 Braken Wooden Chiropractor 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 2019-07-09
1023670569 Wasatch Advanced Dental Care LLC Dentist 3590 Harrison Blvd Suite #1, Ogden, UT 84403 2019-07-05
1194237636 Marci Niemeyer Physician Assistant 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 2017-10-24
1578081949 Stephanie Jensen Specialist/Technologist 1473 36th Street, Ogden, UT 84403 2017-09-06
1891213385 Forrest Sutherland Specialist/Technologist 1075 E 41st St., Ogden, UT 84403 2017-09-05
1184159022 Nicole Lee Van Tassell In Home Supportive Care 1496 East 5600 South, Unit 6, Ogden, UT 84403 2017-04-28
1265889166 Modern Dental Professionals Ut, PC Dentist 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 2016-05-20
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730301474 Beverly O'connor Clinical Neuropsychologist 533 26th St, Suite 100, Ogden, UT 84401-2465 2007-05-03
1063627388 Brain Behavior Associates, P.C. Clinical Neuropsychologist 533 26th St, Suite 100, Ogden, UT 84401-2465 2007-05-11
1518048917 Gregory L. Mayer Clinical Neuropsychologist 4699 Harrison Blvd, Suite 300, Ogden, UT 84403-4396 2006-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780215269 Reboot Centers Hobble Creek Clinical Neuropsychologist 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 2020-02-03
1497254304 Ctr Supports Clinical Neuropsychologist 10182 S Campden Ct, South Jordan, UT 84009-7109 2018-02-06
1770954356 Erin Elizabeth Krauskopf Clinical Neuropsychologist 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 2015-10-08
1528469947 Jordan Harris Rigby Clinical Neuropsychologist 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 2014-09-05
1366719601 Joann T. Tschanz Clinical Neuropsychologist 2810 Old Main Hill, Utah State University, Logan, UT 84322-2810 2011-11-30
1649567728 Grace Macdowell Clinical Neuropsychologist 11762 S State St Ste 160, Draper, UT 84020-7174 2011-07-08
1215239348 Jon Leroy Pertab Clinical Neuropsychologist 5171 South Cottonwood St Suite 810, Neurosciences Institute, Murray, UT 84107 2010-11-22
1619287208 Lisa Michelle Sugerman Clinical Neuropsychologist 389 W 10000 S Ste A, South Jordan, UT 84095-4104 2010-10-15
1154565729 Keith Mcgoldrick Clinical Neuropsychologist 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 2009-04-27
1356593297 Dustin Bradshaw Hammers Clinical Neuropsychologist 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 2008-10-22
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Competitor

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City OGDEN
Zip Code 84403

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Dataset Information

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.

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