JON LEROY PERTAB PH.D.
NPI 1215239348
Psychologist in Murray, UT

Active since November 22, 2010PECOS EnrolledAccepts Medicare Assignment
5171 SOUTH COTTONWOOD ST SUITE 810, NEUROSCIENCES INSTITUTE,, MURRAY, UT 84107(801) 507-9800(801) 507-9800 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jon Leroy Pertab Ph.d. NPPES

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

JON LEROY PERTAB PH.D. (NPI 1215239348) is an individual psychologist in Murray, Utah, licensed in Utah (7759498-2501) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215239348
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJON LEROY PERTABCredential: PH.D.
Location Address5171 SOUTH COTTONWOOD ST SUITE 810, NEUROSCIENCES INSTITUTE,Murray, UT 84107
Mailing Address5171 South Cottonwood St Suite 810, Neurosciences Institute,Murray, UT 84107 · (801) 507-9800 · Fax (801) 507-9800
Fax(801) 507-9800
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 22, 2010
Last NPPES UpdateMay 10, 2013
NPI 1215239348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in UT · 7759498-2501
Definition
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 7759498-2501 (UT)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 7759498-2501 (UT)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 7759498-2501 (UT)
5171 SOUTH COTTONWOOD ST SUITE 810, Murray, UT 84107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jon Leroy Pertab Ph.d. 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 ID5698964260
PECOS Enrollment IDI20110112001036
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.

Areas of Expertise CMS Part B claims 5

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
74 services19 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
73 services19 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
31 services20 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
19 services19 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
17 services17 patients

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 Jon Pertab's NPI number?

The NPI number for Jon Pertab is 1215239348. It was assigned to this individual provider in the NPPES registry on November 22, 2010.

Where is Jon Pertab located?

Jon Pertab practices at 5171 South Cottonwood St Suite 810 Neurosciences Institute,, Murray, UT 84107. The listed phone number is (801) 507-9800.

What is Jon Pertab's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jon Pertab enrolled in Medicare?

Yes. Jon Pertab 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.

What insurance does Jon Pertab accept?

Health plans from Select Health list Jon Pertab 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 Jon Pertab was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.