DAVID BRENT TATE (PH.D.) – Counseling Psychologist, NPI 1093992711

DAVID BRENT TATE (PH.D.) is a healthcare provider. based in St george, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 289126-2501 (UT). The NPI Number for DAVID BRENT TATE (PH.D.) is 1093992711

Main info

Male
32 Years Of Experience
Name
DAVID BRENT TATE (PH.D.)
NPI
1093992711
Phone
(435) 656-0506
Address
321 N MALL DR
Enumeration Date
24 January 2008
Last Update Date
3 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356560506
Graduation Year
1994 (32 years ago)
PAC ID
9830184514
Professional Enrollment ID
I20040421000246
Address ID
UT847907323ST321XXDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

235 CLINICAL PSYCHOLOGIST in UT

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Provider Addresses for DAVID BRENT TATE (PH.D.)

  • 321, Mall Drive, Red Cliffs Mall, Middleton, St. George, Washington County, Utah, 84790, United States

    SUITE I-201

    ST GEORGE, UT 847907302

    Phone: (435) 656-0506

    Fax: (435) 272-4009

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421000246IClinical PsychologistUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour28227$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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Reviews

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Frequently asked questions

Is DAVID BRENT TATE (PH.D.) listed with a National Provider Identifier?
Yes — DAVID BRENT TATE (PH.D.) has NPI 1093992711 on file in the registry.
Is there an active status for DAVID BRENT TATE (PH.D.)?
For scheduling context, DAVID BRENT TATE (PH.D.) is shown as active in the registry.
What expertise is attributed to DAVID BRENT TATE (PH.D.)?
DAVID BRENT TATE (PH.D.)'s specialty line reads Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Where in Utah is DAVID BRENT TATE (PH.D.) registered?
Use St George, Utah as the headline location for DAVID BRENT TATE (PH.D.) here.
When was this NPI issued?
Enumeration for DAVID BRENT TATE (PH.D.) is noted as January 24, 2008 where the registry provides it.

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