SOUTH DAVIS PSYCHOLOGICAL SERVICES
NPI 1386142396
Clinic/Center - Mental Health (Including Community Mental Health Center) in Centerville, UT
About South Davis Psychological Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH DAVIS PSYCHOLOGICAL SERVICES (NPI 1386142396) is a healthcare organization registered as a mental health (including community mental health center) in Centerville, Utah and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Farmington and lists Jonathan Ahern, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Davis Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to South Davis Psychological Services, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 21Centerville, UT 84014
Centerville, UT 84014
Centerville, UT 84014
Centerville, UT 84014
Centerville, UT 84014
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Davis Psychological Services's NPI number?
The NPI number for South Davis Psychological Services is 1386142396. It was assigned to this organization in the NPPES registry on January 24, 2018.
Where is South Davis Psychological Services located?
South Davis Psychological Services is located at 520 N Market Place Dr Ste 200, Centerville, UT 84014. The listed phone number is (801) 934-3373.
What is South Davis Psychological Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is South Davis Psychological Services enrolled in Medicare?
Yes. South Davis Psychological Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Davis Psychological Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to South Davis Psychological Services. A 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 the clinician's services. The largest specialties are Clinical Psychologist (7), Clinical Social Worker (7) and Mental Health Counselor (5). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Davis Psychological Services accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list South Davis Psychological Services 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 South Davis Psychological Services was last updated on September 7, 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.
# South Davis Psychological Services · NPI 1386142396
Mental Health (Including Community Mental Health Center) organization in Centerville, Utah. Organization record, active in the CMS NPPES registry since January 24, 2018.
## Identity
- **NPI:** 1386142396 (Entity type: Organization)
- **Enumerated:** January 24, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jonathan Ahern, OWNER
## Practice location
- **Address:** 520 N MARKET PLACE DR STE 200, Centerville, UT 84014-4904
- **Phone:** (801) 934-3373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (7), Clinical Social Worker (7), Mental Health Counselor (5); 7 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1386142396/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2022
- **Other identifiers:** Medicaid 1437400447 (UT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1386142396) · Data from the CMS NPPES public registry.