DR. M KIRK DOUGHER (NPI# 1457415432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457415432 |
Entity Type | Individual |
Full Name | DR. M KIRK DOUGHER |
Credential | PH.D. |
Practice Address |
1500 Wsc Provo UT 84602 |
Practice Telephone | 8013199226 |
Practice Fax Number | 8014220173 |
Mailing Telephone | 8013199226 |
Mailing Fax Number | 8014220173 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
4849737-2501 | UT | Behavioral Health & Social Service Providers |
Street Address |
1500 WSC |
City | PROVO |
State | UT |
Zip Code | 84602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922101849 | Richard Allen Moody | Psychologist | 1500 Wsc, Counseling and Career Center - Byu, Provo, UT 84602-7906 | 2006-09-06 |
1588104210 | Jared Klundt | Psychologist | 1500 Wsc, Provo, UT 84602-7924 | 2017-02-28 |
1356685408 | Michael S Buxton | Marriage & Family Therapist | 1500 Wsc, Byu, Provo, UT 84602-7924 | 2012-11-15 |
1518260280 | Tyler R. Pedersen | Psychologist | 1500 Wsc, Provo, UT 84602 | 2010-12-17 |
1336449081 | Lisa Michelle Leavitt | Psychologist | 1500 Wsc, Brigham Young University, Provo, UT 84602 | 2010-10-28 |
1508019522 | Benjamin Connell Salazar | Psychologist | 1500 Wsc, Brigham Young University, Provo, UT 84602-7924 | 2008-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
Find all providers in zip 84602 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
1295004620 | Jennifer Tamar Brown | Psychologist | 44 W 400 N Apt 6, Provo, UT 84601-8437 | 2011-12-13 |
1497068910 | Brian Hansen | Psychologist | 125 East 300 South Suite 207, Provo, UT 84606-5156 | 2010-07-26 |
1720296296 | Sally Hess Barlow | Psychologist | 285 Tlrb Byu, Provo, UT 84602-8626 | 2007-05-18 |
1497888606 | Stevan Lars Nielsen | Psychologist | 1526 Wsc, Byu, Provo, UT 84602 | 2007-03-14 |
1053408682 | R. Lynn Richards | Psychologist | 1432 E. 850 S., Provo, UT 84606 | 2006-10-06 |
1922101849 | Richard Allen Moody | Psychologist | 1500 Wsc, Counseling and Career Center - Byu, Provo, UT 84602-7906 | 2006-09-06 |
1386600450 | Juergen Erich Korbanka | Psychologist | 750 North 200 West, Provo, UT 84601 | 2006-04-26 |
1992703615 | Allan Roe | Psychologist | 1190 N 900 E, Suite 204, Provo, UT 84604-3536 | 2005-07-07 |
Find all providers in PROVO |
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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.