Individual provider Active NPI

Jennifer Rigby Cardinal, PHD, BCBA

  • Psychologist
  • Bountiful, UT
National Provider Identifier
1467898197
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
360871-2501 Issued in UT
Practice address
415 S Medical Dr
Suite D101
Bountiful, UT 84010
Phone
(801) 683-1062
Fax
(801) 295-5537
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 8317648-2506 UT
Psychologist 103T00000X 360871-2501 UT Primary

Addresses

Primary practice location

415 S Medical Dr
Suite D101
Bountiful, UT 84010

Mailing address

415 S. Medical Drive
Suite D101
Bountiful, UT 84010-4946
Phone (801) 683-1062

Other practice location 1

327 W. Gordon Ave
Suite 2
Layton, UT 84041-2343
Phone (801) 683-1062

Other practice location 2

370 E South Temple Ste 175
Salt Lake City, UT 84111-1241
Phone (801) 683-1062

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131108001007 UT Practitioner - Clinical Psychologist 3173758612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurobehavioral Center for Growth LLCGroup PAC ID 4183859622, 7 clinicians

Practice addresses (Care Compare)

415 Medical Dr
Suite D101
Bountiful, UT 84010-8905
Phone (801) 683-1062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8317648-2506UTMDBehavioral Analyst
360871-2501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Center for Growth LLC Psychologist CurrentSince Jul 5, 2013 Accepting new patients
Barbara Morrell Hughes PC PastSince Jun 7, 2010 Accepting new patients

Locations

415 Medical Dr
Ste B102
Bountiful, UT 84010
Phone (385) 275-0492

415 Medical Dr
Ste A100
Bountiful, UT 84010
Phone (801) 335-0522

415 Medical Dr
Ste D101
Bountiful, UT 84010
Phone (201) 683-1062

920 Heritage Park Blvd
Ste 210
Layton, UT 84041

327 W Gordon Ave
Ste 2
Layton, UT 84041
Phone (385) 342-2808

370 E South Temple
Ste 175
Slc, UT 84111
Phone (385) 299-5683

5974 Fashion Point Dr
Ste 140
South Ogden, UT 84403
Phone (801) 475-5535

5926 Fashion Point Dr
Ste 120
South Ogden, UT 84403
Phone (801) 747-2800

7613 S Jordan Landing Blvd
Ste 120
West Jordan, UT 84084
Phone (801) 280-2548

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1467898197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S. MEDICAL DRIVE",
            "address_2": "SUITE D101",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104946",
            "telephone_number": "801-683-1062",
            "fax_number": "018-295-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MEDICAL DR",
            "address_2": "SUITE D101",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 W. Gordon Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840412343",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 E South Temple Ste 175",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841111241",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "JENNIFER",
        "middle_name": "RIGBY",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "8317648-2506",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "360871-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.