JACOB BRUSHABER-DROCKTON
NPI 1235785452
Psychologist in Salt Lake City, UT
About Jacob Brushaber-drockton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB BRUSHABER-DROCKTON (NPI 1235785452) is an individual psychologist in Salt Lake City, Utah and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Brushaber-drockton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84111
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 Jacob Brushaber-drockton's NPI number?
The NPI number for Jacob Brushaber-drockton is 1235785452. It was assigned to this individual provider in the NPPES registry on August 13, 2019.
Where is Jacob Brushaber-drockton located?
Jacob Brushaber-drockton practices at 350 S 400 E, Salt Lake City, UT 84111. The listed phone number is (801) 582-5534.
What is Jacob Brushaber-drockton's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jacob Brushaber-drockton enrolled in Medicare?
Yes. Jacob Brushaber-drockton is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Brushaber-drockton was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.