Brian Douglas Augustyn, | |
501 S Chipeta Way, Salt Lake City, UT 84108-1222 | |
(801) 585-1575 | |
Not Available |
Full Name | Brian Douglas Augustyn |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 501 S Chipeta Way, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306095633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 8883397-2501 (Utah) | Primary |
103T00000X | Psychologist | 8883397-2501 (Utah) | Secondary |
Entity Name | University Of Utah |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
Entity Name | University Of Utah Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Entity Name | University Of Utah Pediatric Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
Mailing Address | Practice Location Address |
---|---|
Brian Douglas Augustyn, Po Box 413076, Salt Lake City, UT 84141-3076 Ph: (801) 213-3900 | Brian Douglas Augustyn, 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 585-1575 |
Dr. Rachel Leigh Hopkins, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 164 S 900 E, Salt Lake City, UT 84102 Phone: 801-419-0139 Fax: 385-227-8099 | |
Megan Wall, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 464 E 3rd Ave, Salt Lake City, UT 84103 Phone: 609-462-5974 | |
Dr. Charlotte J Ferrin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E, Suite 11, Salt Lake City, UT 84105 Phone: 801-231-5795 | |
Kelly Stout, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 295 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-213-3469 | |
Jordan Kugler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 170 S 1000 E Ste 201, Salt Lake City, UT 84102 Phone: 402-578-7426 | |
Bruce Dennis Etringer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S Ste 250, Salt Lake City, UT 84106 Phone: 801-467-8890 Fax: 801-484-3862 | |
Dr. Ann H Tyler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124 Phone: 801-273-7835 |