EMILY YOUNG BULLOCK (NPI# 1760670962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760670962 |
| Entity Type | Individual |
| Full Name | EMILY YOUNG BULLOCK |
| Credential | PSY.D. |
| Practice Address |
240 N East Promontory Ste 200 Farmington UT 84025-2950 |
| Practice Telephone | 8018441615 |
| Practice Fax Number | 8442214750 |
| Mailing Telephone | 8018441615 |
| Mailing Fax Number | 8442214750 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2018-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | LICENSED PSYCHOLOGIST | 7510289-2501 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1477 N 2000 W Ste E, Clinton, UT 840159099 | 8016145866 | 8018251162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512491 | Emily Katharine Bullock | Nurse Practitioner | 641 R B Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-03-14 |
| 1548887409 | Emily Bullock | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2020-06-26 |
| 1457813198 | Emily Ryan Bullock | Psychologist | 2250 Leestown Rd, Lexington, KY 40511-1052 | 2019-04-02 |
| 1316370901 | Emily Ann Bullock | Nurse Practitioner | 5121 S Cottonwood St, Building 4 Ll1, Murray, UT 84107-5701 | 2013-08-19 |
| 1396841383 | Emily Claire Bullock | Obstetrics & Gynecology | 9200 Pinecroft Dr, Suite 400, Shenandoah, TX 77380-3279 | 2006-09-16 |
| Street Address |
240 N EAST PROMONTORY STE 200 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153522 | Aimee Danielle Sanders | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-05-04 |
| 1386142396 | South Davis Psychological Services | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-01-24 |
| 1881043487 | South Davis Psychological Services | Clinic/Center | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2016-06-06 |
| 1821474016 | Sandra Chacon | Counselor | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| 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 |
|---|---|---|---|---|
| 1578062295 | Megan Maureen Clarke | Psychologist | 3 Forest Park Dr Ste 101, Farmington, CT 06032-1468 | 2018-02-08 |
| 1023324316 | Faith Prelli | Psychologist | 304 Main St Ste 413, Farmington, CT 06032-2985 | 2010-08-24 |
| 1508098211 | Linda Lee Sutton Meade | Psychologist | 1016 W Columbia St, Sex Offender Rehabilitation and Treatment Services, Farmington, MO 63640-2902 | 2009-08-13 |
| 1295883353 | James Merrill Wood | Psychologist | 23629 Liberty St, Farmington, MI 48335-3568 | 2007-01-08 |
| 1083612477 | Julian Ford | Psychologist | 10 Talcott Notch, Farmington, CT 06030-0001 | 2005-07-11 |
| 1366939191 | Wellspring Psychological Services, LLC | Psychologist | 3 Forest Park Dr Ste 101, Farmington, CT 06032-1468 | 2018-04-17 |
| 1528568110 | Lynn Joy Mcmunn | Psychologist | 270 Farmington Ave Ste 309, Farmington, CT 06032-1953 | 2018-02-20 |
| 1275925117 | Onik Integrative Medicine | Psychologist | 3300 N Butler Ave, Suite 216, Farmington, NM 87401-5621 | 2015-03-02 |
| 1255762951 | John Paulino | Psychologist | 1400a E 20th St, Farmington, NM 87401-9024 | 2013-12-05 |
| 1386951978 | Marc Hanna Irwin | Psychologist | 851 Andrea Dr, Suite 4, Building E, Farmington, NM 87401-6726 | 2010-09-03 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on EMILY YOUNG BULLOCK.
| 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.