DR. HALLEY BROWN (PH.D.) – Psychologist, NPI 1174028146

Psychologist

DR. HALLEY BROWN (PH.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 10526182-2501 (UT). The NPI Number for DR. HALLEY BROWN (PH.D.) is 1174028146

Main info

Female

Sole Proprietor

9 Years Of Experience

Accepts Medicare Assignment

Name

DR. HALLEY BROWN (PH.D.)

NPI

1174028146

Phone

Not provided

Address

164 S 900 E

Enumeration Date

29 March 2018

Last Update Date

26 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8014066256

Graduation Year

2017 (9 years ago)

PAC ID

1951654888

Group Practice PAC ID

4082138904

Professional Enrollment ID

I20181023002450

Address ID

UT840436760LE2183XSTXX402

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:8State licenses:1Digital endpointsOther names

235 CLINICAL PSYCHOLOGIST in UT

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Provider Addresses for DR. HALLEY BROWN (PH.D.)

164, 900 East, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
SALT LAKE CITY, UT 841024103
Phone:
Type: Mailing
2183 W Main St Ste A209
Lehi, UT 840436760
Phone: (801) 406-6256
Type: Location
7536 S RUSSI PL
MIDVALE, UT 840474794
Phone: (520) 275-0103
Type: Mailing
248 E 13800 S STE 4
DRAPER, UT 840205011
Phone: (801) 816-1801
Fax: (801) 501-0249
Type: Location
4694 S WALLACE LN
HOLLADAY, UT 841175552
Phone: (520) 275-0103
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20181023002450	I	Clinical Psychologist	UT	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4082138904View full group profile