Wasatch Psychological Services, LLC
NPI 1336686856ActiveOrganization· Psychologist· Salt Lake City, UT
Psychologist in Salt Lake City, Utah, registered in NPPES in January 2017. The authorized official on file is Ryan W. Wilkes, PSYD, Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336686856 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2017 |
| Last updated in NPPES | Jan 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 10086571-2501 | 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 Part B Supplier - Clinic/Group Practice (UT) |
|---|
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