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DR. JEFFREY BENTLEY PSYD
NPI 1033655535
Clinical Neuropsychologist in Provo, UT

Active since January 09, 2017PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 803, PROVO, UT 84604(801) 235-7246 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Nov 16, 2022, Jul 19, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Jeffrey Bentley Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY BENTLEY PSYD (NPI 1033655535) is an individual clinical neuropsychologist in Provo, Utah, licensed in Utah (8677027-2501) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orem, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033655535
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JEFFREY BENTLEYCredential: PSYD
Location Address395 W COUGAR BLVD STE 803Provo, UT 84604-3728
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 235-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 9, 2017
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1033655535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in UT · 8677027-2501
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 8677027-2501 (UT)
395 W COUGAR BLVD STE 803, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1412 W 800 NOrem, UT 84057-3728 · Phone (801) 235-7246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Bentley Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173991783
PECOS Enrollment IDI20221201000731
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Bentley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Surgery
395 W COUGAR BLVD STE 802
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1710136742 (801) 357-1030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
27 services25 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC GHELFI PHD
Psychologist (Clinical)
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
LISA J. HRUSHKA D.O
Anesthesiology
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
NORMAN D BOWERS PA-C
Physician Assistant
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
MR. MATTHEW MELVIN TIEMANN PA-C
Physician Assistant
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
DR. RANDY GILLILAND PH.D.
Psychologist (Clinical)
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
JEFFREY D PIERSON PA-C
Physician Assistant
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
KELLEN A HILTON MD
Physical Medicine & Rehabilitation
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246
TRAVIS LEE DIMOND PA-C
Physician Assistant
395 W COUGAR BLVD STE 803
PROVO, UT 84604
Utah County (801) 235-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bentley's NPI number?

The NPI number for Jeffrey Bentley is 1033655535. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Jeffrey Bentley located?

Jeffrey Bentley practices at 395 W Cougar Blvd Ste 803, Provo, UT 84604. The listed phone number is (801) 235-7246.

What is Jeffrey Bentley's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeffrey Bentley enrolled in Medicare?

Yes. Jeffrey Bentley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffrey Bentley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Bentley reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Bentley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Bentley accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jeffrey Bentley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Bentley was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.