DR. BRIAN DION PETROVICH PSYD
NPI 1336110568
Psychologist in Ogden, UT

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
1186 E 4600 S, OGDEN, UT 84403(801) 505-6545 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, Jun 8, 2020, May 1, 2018 (3 updates tracked since 2018).

About Dr. Brian Dion Petrovich Psyd NPPES

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

DR. BRIAN DION PETROVICH PSYD (NPI 1336110568) is an individual psychologist in Ogden, Utah, licensed in Missouri (2004017583) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336110568
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRIAN DION PETROVICHCredential: PSYD
Location Address1186 E 4600 SOgden, UT 84403-4332
Mailing Address1186 E 4600 SOgden, UT 84403-4332 · (801) 505-6545
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMay 16, 20223 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
NPI 1336110568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2004017583
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.

1186 E 4600 S, Ogden, UT 84403

Secondary Practice Locations 2

Location 11100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 292-6885
Location 27321 Balmer StHill AFB, UT 84056-5012 · Phone (719) 777-7909

Other Identifiers 1

Medicaid494703309MO

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

Dr. Brian Dion Petrovich 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 ID3870520240
PECOS Enrollment IDI20191025002132
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 2

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
221 services28 patients
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.
15 services15 patients

Other Providers at the Same Location NPPES 8

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

Chiropractor
1186 E 4600 S, SUITE 220
OGDEN, UT 84403
Chiropractor
1186 E 4600 S, SUITE 220
OGDEN, UT 84403
Exclusive Provider Organization
1186 E 4600 S, STE. 220
OGDEN, UT 84403
Emergency Medicine
1186 E 4600 S, SUITE 200
OGDEN, UT 84403
Chiropractor
1186 E 4600 S, #220
OGDEN, UT 84403
Dentist (General Practice)
1186 E 4600 S, 410
OGDEN, UT 84403
Counselor (Mental Health)
1186 E 4600 S
OGDEN, UT 84403
Hospice Care, Community Based
1186 E 4600 S, SUITE 200
OGDEN, UT 84403

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 Brian Petrovich's NPI number?

The NPI number for Brian Petrovich is 1336110568. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Brian Petrovich located?

Brian Petrovich practices at 1186 E 4600 S, Ogden, UT 84403. The listed phone number is (801) 505-6545.

What is Brian Petrovich's specialty?

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

Is Brian Petrovich enrolled in Medicare?

Yes. Brian Petrovich 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 Brian Petrovich accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Brian Petrovich 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 Brian Petrovich was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.