CANDICE WALTRIP (NPI# 1548517493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548517493 |
| Entity Type | Individual |
| Full Name | CANDICE WALTRIP |
| Credential | PSYD |
| Practice Address |
721 N 530 E Orem UT 84097-4105 |
| Mailing Address |
191 E Flowerfield Dr Draper UT 84020-8148 |
| Practice Telephone | 8016131048 |
| Mailing Telephone | 8016131048 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 9159603-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
9159603-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
9159603-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
9159603-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
9159603-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
721 N 530 E |
| City | OREM |
| State | UT |
| Zip Code | 84097-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346780194 | Infinity Psychological Services, Pllc | Psychologist | 721 N 530 E, Orem, UT 84097-4105 | 2017-02-27 |
| 1487068979 | East Mountain Therapy | Clinic/Center | 721 N 530 E, Orem, UT 84097-4105 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1073545463 | Bradley Lynn Edgington | Psychologist | 363 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-07-07 |
| 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.