Augusto Gancinia , AGENCY AFFILIATED RE
Psychologist β’ Provo, UT
455 N University Ave Ste 201
Provo, UT 846012867
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
455 N University Ave Ste 201
Provo, UT 846012867
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Psychologist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Compared with the same specialty in Provo and Utah
38 active clinicians are listed under Psychologist with a practice address in Provo, UT (437 in Utah).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Provo
10.5% of these 38 clinicians have the CMS telehealth indicator.
23.7% of these 38 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-01-28NUCC Taxonomy Code: 103T00000X
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 455 N UNIVERSITY AVE STE 201, PROVO, UT 846012867 (Tel: 3854462466)
Registered at 455 N UNIVERSITY AVE STE 201, PROVO, UT 846012867 (Tel: 3854462466)
Psychologist (license number reported to NPPES: UT 12458199-2501)
NPI status registered as active in NPPES database
Registered at 340 NE MAPLE, PULLMAN, WA 99163 (Tel: 5093341133)
Registered at 340 NE MAPLE, PULLMAN, WA 99163 (Tel: 5093341133)
Recorded as AUGUSTO GANCINIA, AGENCY AFFILIATED RE
Counselor (license number reported to NPPES: WA GC60503995)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Psychologists in Provo
- Dr. Joseph Fair, PhD
- Dr. Michael Wilkins, PhD
- Dr. Judith Harding, PhD
- Dr. Richard Potts, PhD
- Dr. Kent Gregory, PsyD
Mailing Address
455 N University Ave Ste 201
Provo, UT 846012867
Phone: 3854462466