Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336110568 Individual Practitioner Male Practitioner

Dr. Brian Dion Petrovich , PsyD

Psychologist • Ogden, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Petrovich, PsyD is a certified Psychologist practicing in Ogden, UT. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Petrovich delivers high-quality medical care to the local community at 1186 E 4600 S.

Dr. Petrovich accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1186 E 4600 S

Ogden, UT 844034332

Telephone 8015056545
Associated Practice Facility / Clinic
🏢 Mountain Valley Hospice, Inc Facility NPI 1376648790

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Ogden, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +2.1 yrs vs City Avg
City Avg: 21.9 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Ogden, UT (447 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petrovich (24 Years) 24 Yrs
Ogden Specialty Average (21.9 Years) 21.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
221 28 $151.43 $136.45
90791 Psychiatric diagnostic evaluation
15 15 $205.00 $165.91

Medical Specialties & State Licenses

CMS Verified: 2022-05-16
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MO 2004017583

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
494703309 (MO)

Secondary Practice Locations

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone: 2102926885

7321 Balmer St

Hill Afb, UT 840565012

Phone: 7197777909

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Steven Sorenson , LCSW

Social Worker - Clinical

NPI 1114004306

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 08, 2020

Registered at 1186 E 4600 S, OGDEN, UT 844034332 (Tel: 8015056545)

📍
Updated Business Mailing Address June 08, 2020

Registered at 1186 E 4600 S, OGDEN, UT 844034332 (Tel: 8015056545)

📍
Updated Practice Location May 01, 2018

Registered at 7321 BALMER ST, HILL AFB, UT 840565012 (Tel: 7197777909)

📍
Updated Business Mailing Address May 01, 2018

Registered at 7321 BALMER ST, HILL AFB, UT 840565012 (Tel: 7197777909)

NPI Profile Active August 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2014

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292571459)

📍
Updated Business Mailing Address August 06, 2014

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292571459)

👤
Provider Name / Credentials Updated August 06, 2014

Recorded as BRIAN PETROVICH, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2014

Psychologist (License #2004017583 in MO)

🟢
Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336110568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: May 16, 2022
Sole Proprietor: No

Mailing Address

1186 E 4600 S

Ogden, UT 844034332

Phone: 8015056545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.