OrganizationActive
Professional Clinical Management
NPI 1023263191 · Psychologist · Provo, UT
Provider details
- NPI number
- 1023263191
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Randall Hyde, Clinical Director(801) 221-0223
- License
- 851131532501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1355 N University Ave Ste 200
Provo, UT 84604-2721
Phone: (801) 221-0223
Fax: (801) 221-0291
Street-level locationGet directions
Mailing address
1355 N University Ave Ste 200
Provo, UT 84604-2721
Other names (DBA / former)
- Doing business as
- Preferred Family Clinic
Registry dates
- Enumerated
- 2008-11-17
- Last updated
- 2008-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.