NEUROBEHAVIORAL CENTER FOR GROWTH LLC (NPI# 1942641931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942641931 |
| Entity Type | Organization |
| Organization Name | NEUROBEHAVIORAL CENTER FOR GROWTH LLC |
| Practice Address |
415 Medical Dr Suite A 201 Bountiful UT 84010-4946 |
| Mailing Address |
8513 Ne Hazel Dell Ave Ste 102 Vancouver WA 98665-8068 |
| Practice Telephone | 8016831062 |
| Practice Fax Number | 8012942643 |
| Mailing Telephone | 8016831062 |
| Mailing Fax Number | 8012955537 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | JENNIFER RIGBY CARDINAL (PSYCHOLOGIST) |
| Authorized Official Telephone | 8016831062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 327 W Gordon Ave Ste 2, Layton, UT 840412381 | 8016831062 | 8012955537 |
| 370 E South Temple Ste 175, Salt Lake City, UT 841111241 | 8016831062 | 8012955537 |
| Street Address |
415 MEDICAL DR SUITE A 201 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848338 | Christine A Cheng | Specialist | 415 Medical Dr, Suite D102, Bountiful, UT 84010-4946 | 2005-08-10 |
| 1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
| 1982139903 | Karen Louise Nickl | Psychologist | 415 Medical Dr, Suite B101, Bountiful, UT 84010-4946 | 2017-04-27 |
| 1427592740 | Heather Dillon | Assistant Behavior Analyst | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2016-12-05 |
| 1295286383 | Luekenga Way, LLC | Audiologist | 415 Medical Dr, 202a, Bountiful, UT 84010-4946 | 2016-10-24 |
| 1942657960 | Paul C Larsen Dmd PC | Dentist | 415 Medical Dr, Ste D201, Bountiful, UT 84010-4946 | 2016-05-19 |
| 1467831586 | Rita Zimmerman | Counselor | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2015-05-21 |
| 1659661288 | Mark Spencer Mcgowan | Dentist | 415 Medical Dr, A200, Bountiful, UT 84010-4946 | 2011-04-16 |
| 1164723482 | Joe R Nielsen Md PC | Clinic/Center | 415 Medical Dr, D-200, Bountiful, UT 84010-4946 | 2010-11-03 |
| 1104061191 | William T Sadler Md PC | Internal Medicine | 415 Medical Dr, Suite C202, Bountiful, UT 84010-4946 | 2008-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952846388 | Philip Davis | Psychologist | 453 W 1500 S, Bountiful, UT 84010-7478 | 2016-12-20 |
| 1467898197 | Jennifer Rigby Cardinal | Psychologist | 415 S Medical Dr, Suite D101, Bountiful, UT 84010 | 2013-05-21 |
| 1053870626 | Lyndsey Evans | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-03-13 |
| 1508322934 | Heather Lianne-edgel Josephson | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-02-11 |
| 1649754706 | Paula Fiet | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2018-09-24 |
| 1588189492 | Mary Melinda Russell-stamp | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2017-08-11 |
| 1982139903 | Karen Louise Nickl | Psychologist | 415 Medical Dr, Suite B101, Bountiful, UT 84010-4946 | 2017-04-27 |
| 1588799654 | Ihc Health Services Inc | Psychologist | 390 N Main St, Bountiful, UT 84010-6046 | 2007-02-22 |
| 1831174515 | Richard King Mower | Psychologist | 505 S Main St, Bountiful, UT 84010-6322 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1346857026 | Adam Hanley | Psychologist | 395 S 1500 E, Salt Lake City, UT 84112-8909 | 2020-09-28 |
| 1770198566 | Behavioral Health Holdings LLC | Psychologist | 768 S 1100 E, Spanish Fork, UT 84660-2552 | 2020-09-09 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1033742887 | Vaughn E Worthen | Psychologist | 1545 Wsc, Provo, UT 84602-7924 | 2020-02-20 |
| 1275172363 | Wasatch Learning & Development | Psychologist | 8170 S Highland Dr Ste E5, Sandy, UT 84093-6469 | 2020-01-06 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1043776933 | Jennie Lyn Bingham | Psychologist | 750 Round Valley Dr Ste 204, Park City, UT 84060-7549 | 2019-02-15 |
| 1083178404 | Kevin Michael Fenstermacher | Psychologist | 1549 E 3970 S, Millcreek, UT 84124-1524 | 2019-01-30 |
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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.