NPIMap

Organization Active NPI

Neurobehavioral Center for Growth LLC

  • Psychologist
  • Bountiful, UT
National Provider Identifier
1942641931
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEUROBEHAVIORAL CENTER FOR GROWTH LLC
Practice address
415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone
(801) 683-1062
Fax
(801) 294-2643
NPI assigned
Jul 8, 2013
Last updated
Dec 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Dr. Jennifer Rigby Cardinal, PHD, BCBA, NCSPNPI 1467898197
Title
Psychologist
Phone
(801) 683-1062

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

415 Medical Dr Ste A100
Bountiful, UT 84010-4995

Mailing address

415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone (801) 683-1062

Other practice location 1

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

Other practice location 2

5974 Fashion Point Dr Ste 100
South Ogden, UT 84403-4840
Phone (801) 683-1062

Other practice location 3

327 W Gordon Ave Ste 1And2
Layton, UT 84041-2377
Phone (801) 683-1062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131108000961 UT Part B Supplier - Clinic/Group Practice 4183859622 Receives reassigned benefits from 9 practitioners
Practice locations: Bountiful, UT; South Ogden, UT; Layton, UT; Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

415 Medical Dr
Ste A201
Bountiful, UT 84010
Phone (801) 204-6200

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

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

327 W Gordon Ave
Ste 1AND2
Layton, UT 84041

920 Heritage Park Blvd
Ste 210
Layton, UT 84041

429 S Main St
Logan, UT 84321

370 E South Temple
Ste 125
Salt Lake City, UT 84111

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

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

5974 Fashion Point Dr
Ste 100
South Ogden, UT 84403
Phone (801) 479-9644

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

Practitioners & affiliated clinicians

Practitioners 192

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.

View all 192

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1942641931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE A100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104995",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE A100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104995",
            "telephone_number": "801-683-1062",
            "fax_number": "801-294-2643"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "address_1": "5974 Fashion Point Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844034840",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 W Gordon Ave Ste 1And2",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840412377",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL CENTER FOR GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "CARDINAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RIGBY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-683-1062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA, NCSP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.