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

Individual provider Clinical Psychologist · NPI 1801903786

Randal S Pennington, PSYD is a Clinical Psychologist in Provo, Utah. Qualified in 2000, 26 years ago. Practices with Sailor Health Medical PA, a 263-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
26
Licensed in
UT
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

750 N 200 W
Provo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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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 49478942501 (UT)

Record details

NPI number1801903786
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Sailor Health Medical Pa — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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