Adam Schwebach Inc
Organization Active NPI Clinical Neuropsychologist · Clinton, UT
NPI 1124313085 · NPPES record last updated Jun 12, 2013
Key facts
- NPI
- 1124313085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 360871-2501 (UT)
- Legal business name
- ADAM SCHWEBACH INC
- 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Adam J Schwebach, PHD
- Title
- Owner / Psychologist
- Phone
- (801) 614-5866
Practitioners 2
-
Adam J Schwebach, PH.D.
-
Ryan E Thomas, D.D.S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110907001582 | UT | Part B Supplier - Clinic/Group Practice | 5092985788 |
Receives reassigned benefits from 1 practitioner Practice locations: Kaysville, UT |
National Provider Directory
Locations
1407 N 2000 W
Ste A
Clinton, UT 84015
Phone (801) 336-1836
1477 N 2000 W
Ste E
Clinton, UT 84015
Phone (801) 614-5866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | 360871-2501 | UT | Yes |
Addresses
Primary practice location
1477 N 2000 W
Suite E
Clinton, UT 84015-8638
Mailing address
PO Box 95970
South Jordan, UT 84095-0970
Phone (800) 658-8556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780837047 | Medicaid | UT |
Other names
- NeuroPsychology Center of Utah
Other providers in Clinton, UT
- 100 Chiro Hoetzl, LLC
- Jessica Addleman
- Terylin Alexander
- William Paul Alexander
- Jaclyn Arave
- Nelson L Astle
All providers in Clinton, UT · Clinical Neuropsychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.