| John D Perovich, PSYD | |
|
1148 W Legacy Crossing Blvd Ste 130, Centerville, UT 84014-5537 | |
| (801) 773-0535 | |
| (801) 773-0536 |
| Full Name | John D Perovich |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 34 Years |
| Location | 1148 W Legacy Crossing Blvd Ste 130, Centerville, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427105493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3454712501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John D Perovich Psyd Pllc | 1850669094 | 4 |
| Entity Name | John D Perovich PsyD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265846976 PECOS PAC ID: 1850669094 Enrollment ID: O20170613000595 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Perovich, PSYD 1148 W Legacy Crossing Blvd Ste 130, Centerville, UT 84014-5537 Ph: (801) 773-0535 | John D Perovich, PSYD 1148 W Legacy Crossing Blvd Ste 130, Centerville, UT 84014-5537 Ph: (801) 773-0535 |
Dr. Kali Rodgers Lantrip, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 971, Centerville, UT 84014 Phone: 805-795-2182 |
Dr. Kate Elizabeth Rogers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 386 N Main St, Centerville, UT 84014 Phone: 801-298-2000 Fax: 801-951-1490 |
Dr. Scott Vernon Cutler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 224 S Main St, Centerville, UT 84014 Phone: 801-292-2404 |