Eliza Gedge, PH.D., LP
Eliza Gedge, PH.D., LP is a Clinical Psychologist in Provo, UT, registered under NPI 1003197658. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Provo, based on OpenStreetMap data collected Sep 3, 2026. Parking is available about 728 ft away. The nearest transit stop is 989 ft away, served by UTA Route 831 (northbound). If you arrive early, there is a coffee shop 0.49 mi away.
Getting here and what is nearby
Transit 200 W @ 781 N 111 ft ~1 min
Parking 268 ft ~2 min
Transit 200 W @ 810 N 331 ft ~2 min
Parking 585 ft ~3 min
Parking 728 ft ~3 min
Transit UTA Route 831 (northbound) 989 ft ~4 min
716 North University Avenue, Provo
Gas station Chevron 0.27 mi ~6 min
Restaurant Five Sushi Brothers 0.27 mi ~6 min
445 Freedom Boulevard, Provo 84601
Mo-Sa 11:00-14:00,17:00-24:00
Restaurant Brick Oven 0.30 mi ~7 min
111 East 800 North, Provo 84606
Mo-Th 11:00-21:00; Fr-Sa 11:00-22:00; Su off
Gas station 7-Eleven 0.31 mi ~7 min
Convenience 7-Eleven 0.32 mi ~7 min
Coffee Moon Peak Coffeehouse 0.33 mi ~7 min
71 East Center Street, Provo 84606
Mo-Fr 07:00-14:00; Sa-Su 08:00-15:00
Grocery Smith's 0.35 mi ~7 min
350 North Freedom Boulevard, Provo 84601
Mo-Su 06:00-24:00
Restaurant Thai Hut 0.36 mi ~8 min
Convenience Smith's Fuel Center 0.43 mi ~9 min
Mo-Su 06:00-23:00
Gas station Smith's Fuel Center 0.43 mi ~9 min
Coffee Starbucks 0.46 mi ~10 min
Coffee Slurp 0.49 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 6301014858 | MI | Counseling Psychologist |
| 12966150-2501 | UT | Clinical Social Worker |
| 12966150-25801 | UT | Clinical Psychologist primary |
Licences are recorded in 2 states: MI, UT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 2961868849
- Enrollment ID
- I20230518002645
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Michigan and Utah. The practice address on file is in Provo, UT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 12966150-2501
- Specialty
- Clinical Social Worker
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical covers
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC1900X | Counseling Psychologist Counseling | 6301014858 | MI | |
| 1041C0700X | Clinical Social Worker Clinical | 12966150-2501 | UT | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | 12966150-25801 | UT | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003197658 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 8, 2011 |
| Last updated | Apr 2, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PH.D., LP |
| Practice address |
750 N FREEDOM BLVD Provo, UT 84601 (801) 373-0639 Fax (801) 373-0639 |
| Other identifiers |
1883825
· Medicaid (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 9 | 7 | 6 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 9 | 5 | 6 | 1 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.