Eliza Gedge, PH.D., LP
NPI 1003197658 · Clinical Psychologist · Provo, UT
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eliza Gedge, PH.D., LP is a Clinical Psychologist provider in Provo, UT (NPI 1003197658).
Provider details
- NPI number
- 1003197658
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LP
- Sex
- Female
- Sole proprietor
- No
- License
- 6301014858 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 114 Orchard Lake RdPontiac, MI 48341-2244Phone: (248) 858-7766Fax: (248) 858-7201
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Eliza Gedge's NPI number?
- Eliza Gedge's National Provider Identifier (NPI) is 1003197658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eliza Gedge's specialty?
- Eliza Gedge is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Eliza Gedge located?
- Eliza Gedge's practice location on file with NPPES is 750 N Freedom Blvd, Provo, UT 84601-1677.
- What is Eliza Gedge's phone number?
- The practice phone number listed in the NPPES registry for Eliza Gedge is (801) 373-0639.
- Does Eliza Gedge accept Medicare?
- Eliza Gedge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eliza Gedge's NPI active?
- Yes — Eliza Gedge's NPI (1003197658) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.