IndividualActive
Augusto Gancinia, AGENCY AFFILIATED RE
NPI 1881098051 · Psychologist · Provo, UT
Provider details
- NPI number
- 1881098051
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- AGENCY AFFILIATED RE
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12458199-2501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
455 N University Ave Ste 201
Provo, UT 84601-2867
Phone: (385) 446-2466
Street-level locationGet directions
Mailing address
455 N University Ave Ste 201
Provo, UT 84601-2867
Registry dates
- Enumerated
- 2014-10-17
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.