| Comprehensive Psychological Services Inc | |
|
1208 E 3300 S Salt Lake City UT 84106-2522 | |
| (801) 483-1600 | |
| (801) 483-1610 |
| Full Name | Comprehensive Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1208 E 3300 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Steven A Szykula (CEO/PSYCHOLOGIST) |
| Authorized Official Contact | 8014831600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Services Inc 1208 E 3300 S Salt Lake City UT 84106-2522 Ph: (801) 483-1600 | Comprehensive Psychological Services Inc 1208 E 3300 S Salt Lake City UT 84106-2522 Ph: (801) 483-1600 |
| NPI Number | 1407878333 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 06/27/2017 |
| Medicare PECOS PAC ID | 2365345741 |
|---|---|
| Medicare Enrollment ID | O20040202000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407878333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Steven A Szykula |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942224829 PECOS PAC ID: 6608779095 Enrollment ID: I20040210000280 |
| Provider Name | Susan E Hollenbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194762997 PECOS PAC ID: 4587634720 Enrollment ID: I20040727000675 |
| Provider Name | Nathan R Currier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407085848 PECOS PAC ID: 6406898949 Enrollment ID: I20050525000592 |
| Provider Name | Sonja J Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699868950 PECOS PAC ID: 1254350739 Enrollment ID: I20051114000899 |
| Provider Name | Mark D Neuman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194824961 PECOS PAC ID: 9032130430 Enrollment ID: I20051213000691 |
| Provider Name | Brady D Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023237427 PECOS PAC ID: 3274679378 Enrollment ID: I20091002000406 |
| Provider Name | Timothy S Enniss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750487864 PECOS PAC ID: 5799800124 Enrollment ID: I20100908001151 |
| Provider Name | Brenda A Luker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770803421 PECOS PAC ID: 5799978383 Enrollment ID: I20101014001063 |
| Provider Name | Martin Freimer |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1902962293 PECOS PAC ID: 5597742171 Enrollment ID: I20110512000834 |
| Provider Name | Ronnie J Llewelyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801838602 PECOS PAC ID: 4981900792 Enrollment ID: I20160303002499 |
| Provider Name | Stephanie Z H Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972923662 PECOS PAC ID: 4183984016 Enrollment ID: I20180214000128 |
| Provider Name | Steven N Nickolaisen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841857315 PECOS PAC ID: 7214367648 Enrollment ID: I20200424002631 |
| Provider Name | Jared N Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194227793 PECOS PAC ID: 2264850601 Enrollment ID: I20200916001378 |
| Provider Name | Aline Devaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639432750 PECOS PAC ID: 4880018944 Enrollment ID: I20210222002962 |
| Provider Name | Teresa D Goodner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841812260 PECOS PAC ID: 5294140141 Enrollment ID: I20210430001633 |
| Provider Name | Tiffany A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780278465 PECOS PAC ID: 5799182978 Enrollment ID: I20210930002741 |
| Provider Name | Heather N Bath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639477656 PECOS PAC ID: 3678962750 Enrollment ID: I20211110002850 |
| Provider Name | Adam C Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528734118 PECOS PAC ID: 7214319292 Enrollment ID: I20220808002196 |
| Provider Name | Brandon W Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114215746 PECOS PAC ID: 2769732767 Enrollment ID: I20221014002818 |
| Provider Name | Kassidy R Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871291989 PECOS PAC ID: 4789040353 Enrollment ID: I20230524001846 |
| Provider Name | Kelsey N Furr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457069635 PECOS PAC ID: 9830556356 Enrollment ID: I20230526001662 |
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