Russell Douglas Sorenson, PHD
NPI 1215298559ActiveIndividual· Psychologist, Clinical· Richfield, UT
Psychologist, Clinical (PHD) with Mountain Utah Family Medicine, practicing in Richfield, Utah. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1215298559 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Jun 4, 2012 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 11876179-2501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (UT) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Mountain Utah Family MedicineRichfield, UT · 6 clinicians
Other clinical psychologists in Richfield
- 1770283202
- 1295770360