BRADLEY DWAYNE CROCKETT
NPI 1134867310
Psychologist - School in Provo, UT

Active since May 26, 2022
240 WEST 940 NORTH, PROVO, UT 84604(801) 374-4800 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Dwayne Crockett NPPES

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

BRADLEY DWAYNE CROCKETT (NPI 1134867310) is an individual school provider in Provo, Utah and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1134867310
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameBRADLEY DWAYNE CROCKETT
Location Address240 WEST 940 NORTHProvo, UT 84604
Mailing Address1753 Red Barn RdSpringville, UT 84663-3231 · (801) 473-9635
Sole ProprietorYes
Enumeration DateMay 26, 2022
NPPES CertifiedMay 10, 2022
NPI 1134867310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
240 WEST 940 NORTH, Provo, UT 84604

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 Bradley Crockett's NPI number?

The NPI number for Bradley Crockett is 1134867310. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Bradley Crockett located?

Bradley Crockett practices at 240 West 940 North, Provo, UT 84604. The listed phone number is (801) 374-4800.

What is Bradley Crockett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Bradley Crockett was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.