Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568581056 Individual Practitioner Male Practitioner

Dr. Michael Scott Deberard , PhD, MS, BA

Psychologist - Clinical • Logan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Deberard, PhD, MS, BA is a registered healthcare professional specializing in Psychologist - Clinical in Logan, UT. Practice services are available at 2810 OLD MAIN HL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2810 Old Main Hl

Logan, UT 843222810

Telephone 4357973401
Fax 4357971448
Associated Practice Facility / Clinic
🏢 Utah State University Facility NPI 1811058076

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
18 Specialists

Practicing in Logan, UT (451 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License UT 50289442501

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Provider Number
50289442500001 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Rick Cruz , PhD

Psychologist - Clinical Child & Adolescent

NPI 1063044865

Doctor of Philosophy (Ph.D.)

Gretchen Peacock

Psychologist

NPI 1104858695
Michael Gerald , CMHC, LMHC, CRC

Counselor - Mental Health

NPI 1255840021

CMHC, Licensed Mental Health Counselor, Certified Rehabilitation Counselor

NPI 1285666784

Doctor of Philosophy (Ph.D.)

Dr. Susan Crowley , PhD

Psychologist - Clinical

NPI 1407983315

Doctor of Philosophy (Ph.D.)

Dr. Gary Lefevor , PhD

Psychologist - Counseling

NPI 1477091650

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2810 OLD MAIN HL, LOGAN, UT 843222810 (Tel: 4357973401)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2810 OLD MAIN HL, LOGAN, UT 843222810 (Tel: 4357973401)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL DEBERARD, PHD, M.S., B.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #50289442501 in UT)

🟢
Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568581056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2810 Old Main Hl

Logan, UT 843222810

Phone: 4357973401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.