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OGDEN PSYCHOLOGICAL SERVICES LLC
NPI 1417506270
Psychologist - Clinical in Ogden, UT

Active since September 04, 2019
1186 E 4600 S STE 110, OGDEN, UT 84403(801) 505-6545(801) 505-6545 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 16, 2022, Sep 4, 2019 (2 updates tracked since 2019).

About Ogden Psychological Services Llc NPPES

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

OGDEN PSYCHOLOGICAL SERVICES LLC (NPI 1417506270) is a healthcare organization registered as a clinical in Ogden, Utah and active in the NPI registry since September 2019. The organization lists Brian Petrovich, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1417506270
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOGDEN PSYCHOLOGICAL SERVICES LLC
Location Address1186 E 4600 S STE 110Ogden, UT 84403-4896
Mailing Address1186 E 4600 S Ste 110Ogden, UT 84403-4896 · (801) 505-6545 · Fax (801) 505-6545
Phone(801) 505-6545
Fax(801) 505-6545
Organization SubpartNo
Authorized OfficialBrian PetrovichClinical Director · (801) 505-6545
Enumeration DateSeptember 4, 2019
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1417506270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1186 E 4600 S STE 110, Ogden, UT 84403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.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)

Ogden Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ogden Psychological Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Brian Petrovich, PSYD
Clinical Psychologist
NPI 1336110568
1186 E 4600 S
Ogden, UT 84403
(801) 505-6545
✔ PECOS✔ Accepts Medicare0.6 mi
Christina Franco, MSW, LCSW
Clinical Social Worker
NPI 1790215184
3500 HARRISON BLVD STE 106
Ogden, UT 84403
(801) 695-2531
✔ PECOS1.4 mi

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 Ogden Psychological Services LLC's NPI number?

The NPI number for Ogden Psychological Services LLC is 1417506270. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Ogden Psychological Services LLC located?

Ogden Psychological Services LLC is located at 1186 E 4600 S Ste 110, Ogden, UT 84403. The listed phone number is (801) 505-6545.

What is Ogden Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ogden Psychological Services LLC enrolled in Medicare?

Yes. Ogden Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ogden Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ogden Psychological Services LLC, in Clinical Psychologist and Clinical Social Worker. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ogden Psychological Services LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ogden Psychological Services LLC 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 Ogden Psychological Services LLC was last updated on May 16, 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.