M D CORGIAT PA NPI 1750550075

NPI Information

  • NPI: 1750550075
  • Provider Name: M D CORGIAT PA
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Other Name: MARK D. CORGIAT, PH.D.
  • Address: 3903 HARRISON BLVD
    SUITE 305
    OGDEN, UT
    ZIP 84403
  • Phone: (801) 387-3807

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NPI Details

M D CORGIAT PA is a clinical psychologist in Ogden, UT. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. M D CORGIAT PA NPI is 1750550075. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mark D. Corgiat, Ph.d..

The provider's business location address is:

3903 HARRISON BLVD
SUITE 305
OGDEN, UT
ZIP 84403-314
Phone: (801) 387-3807
Fax: (801) 387-3810

The provider's authorized official is Mark David Corgiat .
The authorized official title is Owner,director and has the following contact phone number (801) 621-6100.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 9/3/2010.

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
1103TC0700XPsychologistClinical6344743-2501UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11336296003MEDICAIDUTAH
21336296003OTHERUTAHPERSONAL NPI

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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