PATRICIA SOTOLONGO (PSYD) – Clinical Psychologist, NPI 1528577590
Clinical Psychologist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
236 CLINICAL PSYCHOLOGIST in UT
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Provider Addresses for PATRICIA SOTOLONGO (PSYD)
1300 E CENTER ST
PROVO, UT 846063554
Phone: (801) 344-4400
Type: Mailing
4740, Southwest 141st Avenue, Miami-Dade County, Florida, 33175, United States
MIAMI, FL 331754818
Phone: (786) 371-1076
Type: Mailing
East Center Street, Riverbottoms, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846063554
Phone: (801) 344-4400
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: 2025-08-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240527000302 | I | Clinical Psychologist | UT | TBD |
| I20250805001402 | I | Clinical Psychologist | CT | TBD |
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.
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 84606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Clinical Psychologist | UT | |
| Clinical Psychologist | CT | |
| Clinical Psychologist | CT | |
| - | CT | |
| Clinical Psychologist | CT | |
| Clinical Psychologist | CT | |
| - | CT |
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