Utah Center for Psychological Services
NPI 1417659186ActiveOrganization· Psychologist, Clinical· West Jordan, UT
Psychologist, Clinical in West Jordan, Utah, registered in NPPES in March 2023. The authorized official on file is Casey Mangnall, PSYD, Licensed Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417659186 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2023 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
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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