DR. JOHN RICHARD SHAVERS PH.D. NPI 1164487245

NPI Information

  • NPI: 1164487245
  • Provider Name: DR. JOHN RICHARD SHAVERS, PH.D.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1408 E PARKWAY AVE
    SALT LAKE CITY, UT
    ZIP 84106
  • Phone: (801) 474-0906

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NPI Details

DR. John Richard Shavers, PH.D. is a mental health counselor in Salt Lake City, UT. DR. John Richard Shavers, PH.D. NPI is 1164487245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1408 E PARKWAY AVE
SALT LAKE CITY, UT
ZIP 84106-558
Phone: (801) 474-0906

The enumeration date for this NPI number is 4/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health323635-6004UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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