Utah State University
Utah State University is a healthcare organization registered as Clinical Psychologist in Logan, UT, holding Type 2 (organization) NPI 1811058076 since 2006. The authorized official on file is Kathy Reck, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1811058076 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Utah State University |
| Practice address | 2810 OLD MAIN HL, Logan, UT, 84322 |
| Phone | 4357973401 |
| Fax | 4357971448 |
| Enumeration date | 2006-12-12 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kathy Reck |
|---|---|
| Title | Office Manager |
| Phone | 4357972032 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | 5805022-2501 | UT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5805022250001 | Other | UT | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Utah State University NPI: 1811058076 Taxonomy: 103TC0700X (Clinical Psychologist) Address: 2810 OLD MAIN HL, Logan, UT, 84322
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104858695 | Gretchen Peacock | Individual | Psychologist | Logan, UT |
| 1285666784 | Melanie Domenech Rodriguez | Individual | Psychologist | Logan, UT |
| 1407983315 | Susan Crowley | Individual | Clinical Psychologist | Logan, UT |
| 1386776730 | Utah State University | Organization | Psychologist | Logan, UT |
| 1568581056 | Michael Deberard | Individual | Clinical Psychologist | Logan, UT |
| 1881146223 | Rebecca Blais | Individual | Clinical Psychologist | Logan, UT |
| 1881389013 | Jessie Koltz | Individual | Mental Health Counselor | Logan, UT |
Verify this record
Cross-check NPI 1811058076 against the authoritative CMS record: view Utah State University on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Utah State University?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.