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Active NPI 1730232513 Individual Practitioner Male Practitioner

Thomas E. Atkin Psy.d.d. , LICENSED CLINICAL PS

Psychologist - Clinical • Providence, UT

Professional Overview & Biography Verified Profile Summary

Thomas Atkin Psy.D.D., LICENSED CLINICAL PS is a registered healthcare professional specializing in Psychologist - Clinical in Providence, UT. Practice services are available at 545 WEST 465 NORTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

545 West 465 North
Ste. #130

Providence, UT 84332

Telephone 4357920355
Fax 4357923630

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Providence, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Providence, UT (451 Statewide)

Telehealth Adoption Rate
25.0% 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 - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License UT 113531-2501

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

Medicaid State Provider ID
660600550029 (UT)
Commercial Insurance / Payer ID Caqh #
CAGH11411306 (UT)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2011

Registered at 545 WEST 465 NORTH, STE. #130, PROVIDENCE, UT 84332 (Tel: 4357920355)

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Updated Business Mailing Address October 06, 2011

Registered at PO. BOX #6427, LOGAN, UT 84341 (Tel: 4357920355)

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Provider Name / Credentials Updated October 06, 2011

Recorded as THOMAS ATKIN PSY.D.D., LICENSED CLINICAL PS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2011

Psychologist (License #113531-2501 in UT)

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Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730232513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: October 06, 2011
Sole Proprietor: Yes

Mailing Address

Po. Box #6427

Logan, UT 84341

Phone: 4357920355

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

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