NEUROBEHAVIORAL CENTER FOR GROWTH LLC – Psychologist, NPI 1942641931
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEUROBEHAVIORAL CENTER FOR GROWTH LLC
8513 NE HAZEL DELL AVE STE 102
VANCOUVER, WA 986658068
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Mailing
415 MEDICAL DR
SUITE A 201
BOUNTIFUL, UT 840104946
Phone: (801) 683-1062
Fax: (801) 294-2643
Type: Location
5974 Fashion Point Dr Ste 100
South Ogden, UT 844034840
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
327 W Gordon Ave Ste 1And2
Layton, UT 840412377
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
370 E South Temple Ste 175
Salt Lake City, UT 841111241
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
415 MEDICAL DR STE A100
BOUNTIFUL, UT 840104995
Phone: (801) 683-1062
Fax: (801) 294-2643
Type: Location
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: 2013-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (344 days ago).
Enrollment records
1
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| O20131108000961 | O | Clinic/Group Practice | UT | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 98665)
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