Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brian Dion Petrovich, PSYD

Individual provider Psychologist · NPI 1336110568

Dr. Brian Dion Petrovich, PSYD is a Clinical Psychologist in Ogden, Utah. Qualified in 2002, 24 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1186 E 4600 S
Ogden, UT 84403-4332
Phone: (801) 505-6545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 — (210) 292-6885
  • 7321 Balmer St, Hill Afb, UT 84056-5012 — (719) 777-7909

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2004017583 (MO)

Record details

NPI number1336110568
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ogden