Emily Young Bullock, PSY.D.
NPI 1760670962ActiveIndividual· Psychologist· Farmington, UT
Psychologist (PSY.D.) with Numinus Wellness Ut Inc and 1 other group, practicing in Farmington, Utah. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1760670962 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 12, 2007 |
| Last updated in NPPES | Feb 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Numinus Wellness Ut IncLayton, UT · 50 clinicians
- Great Salt Lake Wellness IncProvo, UT · 6 clinicians
Other Psychologist providers in Farmington
- 1043611486