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

Jon Leroy Pertab, PHD

Individual provider Clinical Neuropsychologist · NPI 1215239348

Jon Leroy Pertab, PHD is a Clinical Psychologist in Murray, Utah. Qualified in 2010, 16 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2010
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5171 S Cottonwood St Ste 810 Neurosciences Institute
Murray, UT 84107
Phone: (801) 507-9800
Fax: (801) 507-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 7759498-2501 (UT)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 7759498-2501 (UT)
Clinical Psychologist Taxonomy 103TC0700X · Licence 7759498-2501 (UT)
Health Psychologist Taxonomy 103TH0004X · Licence 7759498-2501 (UT)

Record details

NPI number1215239348
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 22, 2010
Last updated in NPPESMay 10, 2013
Mailing address5171 South Cottonwood St Suite 810, Neurosciences Institute, Murray, UT 84107

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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