Adam Schwebach Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

360871-2501 Issued in UT

Legal business name

ADAM SCHWEBACH INC

Doing business as

NeuroPsychology Center of Utah

Practice address

1477 N 2000 W
Suite E
Clinton, UT 84015-8638

Phone

(801) 614-5866

Fax

(801) 825-1162

NPI assigned

Jun 17, 2011

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adam J Schwebach, PHDNPI 1780837047

Title

Owner / Psychologist

Phone

(801) 614-5866

Specialties & licenses 1

Addresses

Other names 1

• NeuroPsychology Center of Utah Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam J Schwebach, PH.D.

  • Clinical Neuropsychologist
  • Clinton, UT
  • NPI 1780837047
  Medicare reassignment NPD Authorized official
• Ryan E Thomas, D.D.S

  • General Practice Dentistry
  • Kaysville, UT
  • NPI 1396058053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1124313085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "800-658-8556",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 N 2000 W",
            "address_2": "SUITE E",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158638",
            "telephone_number": "801-614-5866",
            "fax_number": "801-825-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM SCHWEBACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "SCHWEBACH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-614-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "360871-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroPsychology Center of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 100 Chiro Hoetzl, LLC
• Jessica Addleman
• Terylin Alexander, M.A.
• William Paul Alexander, DDS
• Jaclyn Arave, DPT
• Nelson L Astle, MD

• Clinical Neuropsychologist in Clinton, UT
• Providers in Clinton, UT by specialty
• Clinical Neuropsychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.