Tara L Bravo (NPI# 1457888125, PAC ID# 4789016460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1457888125 |
| PAC ID by PECOS | 4789016460 |
| Professional Enrollment ID | I20191119000438 |
| Full Name | Tara L Bravo |
| Organization Legal Name | DAVIS BEHAVIORAL HEALTH INC |
| Address |
2250 N 1700 Layton UT 84041-1140 |
| Phone Number | 8017737060 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416861919 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2250 N 1700, Layton, UT 84041-1140 | 8017737060 | DAVIS BEHAVIORAL HEALTH INC |
| 934 S Main St, Layton, UT 84041-4250 | 8017737060 | DAVIS BEHAVIORAL HEALTH INC |
| Organization Legal Name | DAVIS BEHAVIORAL HEALTH INC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Harris | Clinical Social Worker | Davis Behavioral Health Inc | 129 S State St, Suite 240, Clearfield, UT 84015-1130 |
| Scott W Boyle | Psychologist, Clinical | Davis Behavioral Health Inc | 934 S Main St, Layton, UT 84041-4250 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Frances E Geldmacher | Clinical Social Worker | Davis Behavioral Health Inc | 934 S Main St, Layton, UT 84041-4250 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Tracey W Jones | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Christopher M Lang | Psychiatry | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Jamie Marie Cox | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Janet Pendley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Street Address |
2250 N 1700 |
| City | LAYTON |
| State | UT |
| Zip | 84041-1140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Tracey W Jones | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Christopher M Lang | Psychiatry | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Jamie Marie Cox | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Janet Pendley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Todd A Soutor | Psychologist, Clinical | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Joseph Schmidt | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Julana J Schenk | Psychiatry | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Spencer A Baker | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Carol Hendricks | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| John Chidester | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LAYTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Tara L Bravo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.