BRAIN BEHAVIOR ASSOCIATES, P.C. (NPI# 1063627388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063627388 |
| Entity Type | Organization |
| Organization Name | BRAIN BEHAVIOR ASSOCIATES, P.C. |
| Practice Address |
533 26th St Suite 100 Ogden UT 84401-2465 |
| Practice Telephone | 8016217320 |
| Practice Fax Number | 8013940394 |
| Mailing Telephone | 8016217320 |
| Mailing Fax Number | 8013940394 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BEVERLY O'CONNOR (PRESIDENT) |
| Authorized Official Telephone | 8016217320 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 191411-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
533 26TH ST SUITE 100 |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730301474 | Beverly O'connor | Clinical Neuropsychologist | 533 26th St, Suite 100, Ogden, UT 84401-2465 | 2007-05-03 |
| 1366064297 | Adam Boswell | Social Worker | 533 26th St, Ogden, UT 84401-2465 | 2020-05-14 |
| 1740732122 | Brett Hoxer | Counselor | 533 26th St, Suite 100, Ogden, UT 84401-2465 | 2016-11-01 |
| 1518318930 | Kathy Johansen | Social Worker | 533 26th St, Ogden, UT 84401-2465 | 2016-06-27 |
| 1174965891 | Alpha Counseling and Treatment, Inc | Counselor | 533 26th St, Ogden, UT 84401-2465 | 2013-07-23 |
| 1548513898 | Northern Utah Chiropractic LLC | Chiropractor | 533 26th St, Suite 101, Ogden, UT 84401-2465 | 2012-10-24 |
| 1508118803 | Jeffery Frank Clayton | Chiropractor | 533 26th St, Suite 101, Ogden, UT 84401-2465 | 2012-10-10 |
| 1316212467 | Professional Services Corporation | Case Management | 533 26th St, Suite 102, Ogden, UT 84401-2465 | 2012-03-21 |
| 1366768236 | Cyrus Mace Warren | Social Worker | 533 26th St, Suite 100, Ogden, UT 84401-2465 | 2010-04-15 |
| 1427243849 | Clayton Chiropractic Clinic | Health Maintenance Organization | 533 26th St, Suite 101, Ogden, UT 84401-2465 | 2007-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730301474 | Beverly O'connor | Clinical Neuropsychologist | 533 26th St, Suite 100, Ogden, UT 84401-2465 | 2007-05-03 |
| 1518048917 | Gregory L. Mayer | Clinical Neuropsychologist | 4699 Harrison Blvd, Suite 300, Ogden, UT 84403-4396 | 2006-10-18 |
| 1255352878 | Dennis J Staker | Clinical Neuropsychologist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1497254304 | Ctr Supports | Clinical Neuropsychologist | 10182 S Campden Ct, South Jordan, UT 84009-7109 | 2018-02-06 |
| 1770954356 | Erin Elizabeth Krauskopf | Clinical Neuropsychologist | 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 | 2015-10-08 |
| 1528469947 | Jordan Harris Rigby | Clinical Neuropsychologist | 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 | 2014-09-05 |
| 1366719601 | Joann T. Tschanz | Clinical Neuropsychologist | 2810 Old Main Hill, Utah State University, Logan, UT 84322-2810 | 2011-11-30 |
| 1649567728 | Grace Macdowell | Clinical Neuropsychologist | 11762 S State St Ste 160, Draper, UT 84020-7174 | 2011-07-08 |
| 1215239348 | Jon Leroy Pertab | Clinical Neuropsychologist | 5171 South Cottonwood St Suite 810, Neurosciences Institute, Murray, UT 84107 | 2010-11-22 |
| 1619287208 | Lisa Michelle Sugerman | Clinical Neuropsychologist | 389 W 10000 S Ste A, South Jordan, UT 84095-4104 | 2010-10-15 |
| 1154565729 | Keith Mcgoldrick | Clinical Neuropsychologist | 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 | 2009-04-27 |
| 1356593297 | Dustin Bradshaw Hammers | Clinical Neuropsychologist | 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 | 2008-10-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.