DAVID PAUL WARNER (PHD) – Counselor, NPI 1417087776

DAVID PAUL WARNER (PHD) is a healthcare provider. based in Cottonwood heights, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 12585632-2501 (UT). The NPI Number for DAVID PAUL WARNER (PHD) is 1417087776

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DAVID PAUL WARNER (PHD)
NPI
1417087776
Phone
(801) 361-8846
Address
2632 E SANIBEL CV
Enumeration Date
6 March 2007
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3854194261
Graduation Year
2013 (13 years ago)
PAC ID
1456845726
Group Practice PAC ID
1850673187
Professional Enrollment ID
I20251213000475
Address ID
UT841211850MU5965X900X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

235 CLINICAL PSYCHOLOGIST in UT

Provider Addresses for DAVID PAUL WARNER (PHD)

  • 2632 E SANIBEL CV

    COTTONWOOD HEIGHTS, UT 841213474

    Phone: (801) 361-8846

    Type: Location

  • 4171 DOVER LN

    PROVO, UT 846045258

    Phone: (801) 361-8846

    Type: Mailing

  • 2237 S 600 E

    SALT LAKE CITY, UT 841061429

    Phone: (801) 483-2447

    Type: Location

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: 2025-12-13

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
I20251213000475IClinical 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.

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

Insurance plans in this area (ZIP 84121)

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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: 1850673187View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Marriage And Family TherapistUT
Clinical Social WorkerUT
Mental Health CounselorUT
Clinical Social WorkerUT
Mental Health CounselorUT
Clinical Social WorkerUT
Nurse PractitionerUT
Nurse PractitionerUT
Mental Health CounselorUT

Reviews

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Frequently asked questions

Does DAVID PAUL WARNER (PHD) have a public NPI I can cite?
Public records show DAVID PAUL WARNER (PHD) under NPI 1417087776.
Is DAVID PAUL WARNER (PHD) currently accepting referrals based on NPI status?
Registry metadata lists DAVID PAUL WARNER (PHD) as active.
How should patients interpret DAVID PAUL WARNER (PHD)'s specialty?
The extract shows Counselor for DAVID PAUL WARNER (PHD). Clinical services aligned with this taxonomy classification.
Is DAVID PAUL WARNER (PHD) tied to Cottonwood Heights, Utah?
If you are local to Cottonwood Heights, Utah, DAVID PAUL WARNER (PHD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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