Organization Active NPI

SB Yab Co.

Doing business as SLC Psych

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1922730357
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SB YAB CO.
Doing business as
SLC Psych
Practice address
699 E South Temple Ste 300a
Salt Lake City, UT 84102-1188
Phone
(385) 355-1018
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Dr. Brandon Yabko, PHDNPI 1316371487
Title
Owner/Psychologist
Phone
(385) 355-1018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X

Addresses

Primary practice location

699 E South Temple Ste 300a
Salt Lake City, UT 84102-1188

Mailing address

699 E South Temple Ste 300a
Salt Lake City, UT 84102-1188
Phone (661) 312-9335

Other names 1

  • SLC PSYCH Doing business as

National Provider Directory

National Provider Directory

Locations

699 E South Temple
Ste 300A
Salt Lake City, UT 84102
Phone (385) 355-1018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1922730357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE STE 300A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021188",
            "telephone_number": "661-312-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE STE 300A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021188",
            "telephone_number": "385-355-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB YAB CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "YABKO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "385-355-1018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLC PSYCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.