DR. JENNIE LYN BINGHAM (PHD) – Psychologist, NPI 1043776933

Psychologist

DR. JENNIE LYN BINGHAM (PHD) is a healthcare provider. based in Park city, Utah. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 8788382-2501 (UT). The NPI Number for DR. JENNIE LYN BINGHAM (PHD) is 1043776933

Main info

Female

15 Years Of Experience

Accepts Medicare Assignment

Name

DR. JENNIE LYN BINGHAM (PHD)

NPI

1043776933

Phone

(435) 940-5670

Address

750 ROUND VALLEY DR STE 204

Enumeration Date

15 February 2019

Last Update Date

2 January 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4356497680

Graduation Year

2011 (15 years ago)

PAC ID

7618399460

Group Practice PAC ID

1850209420

Professional Enrollment ID

I20200624000363

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness75

Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for DR. JENNIE LYN BINGHAM (PHD)

750 ROUND VALLEY DR STE 204
PARK CITY, UT 840607549
Phone: (435) 940-5670
Fax: (435) 940-5689
Type: Location
7533 S CENTER VIEW CT STE R
WEST JORDAN, UT 840845526
Phone:
Type: Mailing
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 840958506
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1850209420View full group profile

Name	Specialty	State
MR. SARUNAS SLIESORAITIS (DO, PHARM D)	-	OR
BRETT A CHRISTIAN (M.D.)	Diagnostic Radiology	UT
STEPHEN CRAIG MERRELL (M.D., M.P.H.)	Family Practice	UT
MIKHAIL SHIPOTKO (MD)	H O S P I T A L I S T	UT
RICHARD OTT (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	UT
MS. SHARON A KORHEL (APRN)	-	UT
DR. TIMOTHY TRASK (M.D.)	-	UT
JAMES F ORME (MD)	-	UT
JUNE C. STEINVORTH (MD)	Family Practice	UT
RYAN NELSON JONES (M.D.)	-	UT