Brian Dion Petrovich, PSYD
NPI 1336110568ActiveIndividual· Psychologist· Ogden, UT
Psychologist (PSYD) with Sailor Health Medical PA, practicing in Ogden, Utah. Medicare paid $25,098 for services to 31 patients in 2024.
Overview
| NPI | 1336110568 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jan 27, 2006 |
| Last updated in NPPES | May 16, 2022 |
| Certified by provider | May 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2004017583 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO); Practitioner - Clinical Psychologist (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 236 across 2 procedure codes |
| Paid by Medicare | $25,098 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Sailor Health Medical PASmyrna, DE · 355 clinicians
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