Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104858695 Individual Practitioner Female Practitioner

Gretchen Gimpel Peacock

Psychologist • Logan, UT

Professional Overview & Biography Verified Profile Summary

Gretchen Peacock is a registered healthcare professional specializing in Psychologist 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
Department Of Psychology

Logan, UT 843222810

Telephone 4357970721
Fax 4357971448
Associated Practice Facility / Clinic
🏢 Utah State University Facility NPI 1811058076

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Logan, UT (447 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License UT 326646-2501

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1285666784

Doctor of Philosophy (Ph.D.)

Dr. Susan Crowley , PhD

Psychologist - Clinical

NPI 1407983315

Doctor of Philosophy (Ph.D.)

Dr. Michael Deberard , PhD, MS, BA

Psychologist - Clinical

NPI 1568581056

Doctor of Philosophy (Ph.D.), Master of Science, Bachelor of Arts

Dr. Rebecca Blais , PhD

Psychologist - Clinical

NPI 1881146223

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, DEPARTMENT OF PSYCHOLOGY, LOGAN, UT 843222810 (Tel: 4357970721)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2810 OLD MAIN HL, DEPARTMENT OF PSYCHOLOGY, LOGAN, UT 843222810 (Tel: 4357970721)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GRETCHEN PEACOCK

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

Psychologist (License #326646-2501 in UT)

🟢
Initial NPI Registration & Enumeration July 07, 2006

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: 1104858695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2810 Old Main Hl, Department Of Psychology

Logan, UT 843222810

Phone: 4357970721

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.