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Deactivated NPI 1124124763 Deactivated / Inactive NPI Male Practitioner

Dr. Scott E Blickenstaff , PhD

Psychologist • Logan, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Scott Blickenstaff has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Blickenstaff, PhD was a registered Psychologist practicing in Logan, UT. Throughout an active medical career spanning 17 years, Dr. Blickenstaff provided care at the practice location at 90 E 200 N until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

90 E 200 N
Brmh

Logan, UT 843214034

Telephone 4357520750
Associated Practice Facility / Clinic

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 117549-2501

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

40 Associated Practitioners
Jana Nelson , RN

Registered Nurse

NPI 1003906108

Registered Nurse

Joshua Cook

Social Worker - Clinical

NPI 1013709369
Karen Mayne

Case Manager/Care Coordinator

NPI 1023310612
Daniel Miggin , MS, LMFT

Marriage & Family Therapist

NPI 1033219845

Master of Science, Licensed Marriage and Family Therapist

Mona Jensen , CNA

Case Manager/Care Coordinator

NPI 1033454673

Certified Nursing Assistant

Pamela Collins , LPN

Licensed Practical Nurse

NPI 1033665047

Licensed Practical Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 90 E 200 N, BRMH, LOGAN, UT 843214034 (Tel: 4357520750)

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Updated Business Mailing Address July 08, 2007

Registered at 35 N 1300 E, LOGAN, UT 843214935 (Tel: 4357532987)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT BLICKENSTAFF, PH.D.

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

Psychologist (License #117549-2501 in UT)

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Initial NPI Registration & Enumeration September 14, 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: 1124124763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: July 08, 2007
Deactivation Date: May 17, 2023

Mailing Address

35 N 1300 E

Logan, UT 843214935

Phone: 4357532987

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.