DR. JUSTIN R POTTS (PSYD) – Clinical Psychologist, NPI 1528491495

DR. JUSTIN R POTTS (PSYD) is a healthcare provider. based in Murray, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 10842212-2504 (UT). The NPI Number for DR. JUSTIN R POTTS (PSYD) is 1528491495

Main info

Male
8 Years Of Experience
Name
DR. JUSTIN R POTTS (PSYD)
NPI
1528491495
Phone
(801) 266-1044
Address
4991 S COMMERCE DR
Enumeration Date
15 August 2013
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012662485
Graduation Year
2018 (8 years ago)
PAC ID
7315374212
Group Practice PAC ID
4284732835
Professional Enrollment ID
I20200304002405
Address ID
UT841235499TA5689XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

235 CLINICAL PSYCHOLOGIST in UT

Provider Addresses for DR. JUSTIN R POTTS (PSYD)

  • 4991 S COMMERCE DR

    MURRAY, UT 841074705

    Phone: (801) 266-1044

    Type: Mailing

  • 5991 S REDWOOD RD

    TAYLORSVILLE, UT 841235261

    Phone: (801) 266-2485

    Type: Mailing

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: 2020-03-04

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
I20200304002405IClinical 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 84107)

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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: 4284732835View full group profile
NameSpecialtyState
Mental Health CounselorUT
Clinical PsychologistCO
Mental Health CounselorUT
Clinical PsychologistUT
-UT
Marriage And Family TherapistUT
Clinical Social WorkerTX
Mental Health CounselorOK
Mental Health CounselorUT
Clinical Social WorkerUT

Reviews

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Frequently asked questions

Is DR. JUSTIN R POTTS (PSYD) listed with a National Provider Identifier?
Yes — DR. JUSTIN R POTTS (PSYD) has NPI 1528491495 on file in the registry.
Is there an active status for DR. JUSTIN R POTTS (PSYD)?
For scheduling context, DR. JUSTIN R POTTS (PSYD) is shown as active in the registry.
What area of care is associated with DR. JUSTIN R POTTS (PSYD)?
DR. JUSTIN R POTTS (PSYD)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Utah is DR. JUSTIN R POTTS (PSYD) registered?
Use Murray, Utah as the headline location for DR. JUSTIN R POTTS (PSYD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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