John D. Perovich, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3454712501 Issued in UT

Practice address

1148 W Legacy Crossing Blvd Ste 130
Centerville, UT 84014-5537

Phone

(801) 773-0535

Fax

(801) 773-0536

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

John D Perovich PSYD PLLCGroup PAC ID 1850669094, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8811/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John D. Perovich, PSYD PLLC

  • Psychologist
  • Centerville, UT
  • NPI 1265846976
  Medicare reassignment Care Compare group
• Cecilio M. Cabansag MD Inc

  • Gastroenterology Physician
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  • NPI 1962557991
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1427105493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W LEGACY CROSSING BLVD STE 130",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840145537",
            "telephone_number": "801-773-0535",
            "fax_number": "801-773-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W LEGACY CROSSING BLVD STE 130",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840145537",
            "telephone_number": "801-773-0535",
            "fax_number": "801-773-0536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2363 N Hill Field Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840416958",
            "country_code": "US",
            "telephone_number": "801-773-0535",
            "fax_number": "801-773-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEROVICH",
        "first_name": "JOHN",
        "middle_name": "D.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "3454712501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Park, D.C.
• Siena Marie Parry
• Elizabeth Paschen
• Paul M Huffaker, DMD, PLLC
• Karina C Penrod, LCSW
• Chelsea Petersen
• Robert Peterson
• Craig A Pew, O.D.
• Marian H Pham, MD
• Brandon Jay Phelps

• Psychologist in Centerville, UT
• Providers in Centerville, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.