Ogden Psychological Services LLC
NPI 1417506270ActiveOrganization· Psychologist, Clinical· Ogden, UT
Psychologist, Clinical in Ogden, Utah, registered in NPPES in September 2019. The authorized official on file is Brian Petrovich, PSYD, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417506270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2019 |
| Last updated in NPPES | May 16, 2022 |
| Certified by provider | May 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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