| Advanced Behavioral Care, Inc. | |
|
1545 E 3300 S Salt Lake City UT 84106-3370 | |
| (801) 478-2780 | |
| (801) 478-2781 |
| Full Name | Advanced Behavioral Care, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1545 E 3300 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Elizabeth Earle-boyer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8014782780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Care, Inc. 1545 E 3300 S Salt Lake City UT 84106-3370 Ph: (801) 478-2780 | Advanced Behavioral Care, Inc. 1545 E 3300 S Salt Lake City UT 84106-3370 Ph: (801) 478-2780 |
| NPI Number | 1013981935 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577458108 |
|---|---|
| Medicare Enrollment ID | O20040220000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013981935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Primary |
| Provider Name | Beth K Rakke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285624734 PECOS PAC ID: 4789661984 Enrollment ID: I20040706000996 |
| Provider Name | Elizabeth A Earle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558351007 PECOS PAC ID: 8628963261 Enrollment ID: I20040706001083 |
| Provider Name | Kent H Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821015504 PECOS PAC ID: 6103803218 Enrollment ID: I20040706001174 |
| Provider Name | Tiffani Dawn Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437308681 PECOS PAC ID: 0648458026 Enrollment ID: I20110707000549 |
| Provider Name | Stephanie Voigt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861837494 PECOS PAC ID: 0042435042 Enrollment ID: I20140708000523 |
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