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Deactivated NPI 1740212497 Deactivated / Inactive NPI Female Practitioner

Dr. Ellen Helena Todt , PhD

Psychologist • Slc, 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. Ellen Todt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2006
NPI Deactivation Date January 03, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Todt, PhD was a registered Psychologist practicing in Slc, UT. Throughout an active medical career spanning 12 years, Dr. Todt provided care at the practice location at 116 OP VAHCS 500 FOOTHILL BLVD until profile deactivation on 2018-01-03.

Practice Location & Contact Primary Location

Practice Address

116 Op Vahcs 500 Foothill Blvd

Slc, UT 841480001

Telephone 8015821565
Fax 8015842544
Associated Practice Facility / Clinic
🏢 Salt Lake City Vamc Facility NPI 1558329722

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Slc, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Slc, 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 110983-2501

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
Kristine Nelson , LCSW

Social Worker - Clinical

NPI 1003071648

Licensed Clinical Social Worker

Dr. Willard Dere , MD

Internal Medicine

NPI 1003286758

Doctor of Medicine (M.D.)

Hunter Bullock , MLS(ASCP)

Technician, Pathology - Medical Laboratory

NPI 1003336355
Nicolas Hortensi

Student in an Organized Health Care Education/Training Program

NPI 1003430745
David Archibald , PA

Physician Assistant - Medical

NPI 1003985904

Physician Assistant

Mallory Speakman

Registered Nurse

NPI 1013652940

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 January 03, 2018

Record deactivated on January 03, 2018

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 116 OP VAHCS 500 FOOTHILL BLVD, SLC, UT 841480001 (Tel: 8015821565)

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Updated Business Mailing Address July 08, 2007

Registered at 116 OP VAHCS 500 FOOTHILL BLVD, SLC, UT 841480001 (Tel: 8015821565)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN TODT, PH.D.

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

Psychologist (License #110983-2501 in UT)

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Initial NPI Registration & Enumeration July 06, 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: 1740212497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: July 08, 2007
Deactivation Date: January 03, 2018

Mailing Address

116 Op Vahcs 500 Foothill Blvd

Slc, UT 841480001

Phone: 8015821565

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.