Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Richard G. Ellsworth, PHD

Individual provider Clinical Psychologist · NPI 1598814964

Dr. Richard G. Ellsworth, PHD is a Clinical Psychologist in Provo, Utah. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3549 N University Ave - Ste 200 Jamestown Square -- Yorktown Bldg
Provo, UT 84604-4417
Phone: (801) 377-2014
Fax: (801) 374-7449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10083 (CA)

Record details

NPI number1598814964
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

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