JACOB BRUSHABER-DROCKTON
NPI 1235785452
Psychologist in Salt Lake City, UT
NPI Status: Active since August 13, 2019
Contact Information
350 S 400 E
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 582-5534
Fax: (801) 582-5540
- Individual
- Male
- Psychologist
- PECOS Enrolled
About JACOB BRUSHABER-DROCKTON
This page provides the complete NPI Profile along with additional information for Jacob Brushaber-drockton, a provider established in Salt Lake City, Utah with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1235785452 assigned on August 2019. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1235785452
- Provider Name
- JACOB BRUSHABER-DROCKTON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 S 400 E SALT LAKE CITY, UT 84111
- Location Phone
- (801) 582-5534
- Location Fax
- (801) 582-5540
- Mailing Address
- 350 S 400 E SALT LAKE CITY, UT 84111
- Mailing Phone
- (801) 582-5534
- Mailing Fax
- (801) 582-5540
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-13-2019
- Last Update Date
- 08-13-2019
- Code Navigator
A psychologist like Jacob Brushaber-drockton studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Medicare Participation & PECOS Enrollment Status
Jacob Brushaber-drockton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 7 | 8 | 5 | 4 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 8 | 10 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 8 + 1 + 0 + 4 + 1 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1235785452 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639107758 | EVE SMITH L.C.S.W. Individual | Social Worker (Clinical) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1275566069 | CHILDREN'S CENTER Organization | Counselor (Mental Health) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1235227307 | JUDITH AHRANO KITTEL MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1679771224 | DR. JANINE WANLASS PH.D. Individual | Psychologist (Counseling) | 350 S 400 E SUITE 121E SALT LAKE CITY, UT 84111 (801) 328-9204 |
| 1093955502 | DR. NAJMEH HOURMANESH PH.D. Individual | Psychologist | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 578-2331 |
| 1528392933 | MS. BRITTANY LEIGH WARD Individual | Psychologist | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1982939351 | DANIELLE K WARTHEN Individual | Counselor (Professional) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1720395031 | KATHLEEN MANGUS OTR/L Individual | Occupational Therapist | 350 S 400 E CARE OF THE CHILDREN'S CENTER SALT LAKE CITY, UT 84111 (801) 318-7362 |
| 1083913495 | CALEB JEIEL FIGGE Individual | Case Manager/Care Coordinator | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1437458833 | MEGAN SARAH MARSH Individual | Case Manager/Care Coordinator | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1942509351 | LINDSAY WEBER Individual | Case Manager/Care Coordinator | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1164721585 | TESSA HILDE WRAY Individual | Case Manager/Care Coordinator | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1083903207 | ALEXIS T WALK BUFORD Individual | Case Manager/Care Coordinator | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1427339217 | BRITTAINI HOWARD Individual | Psychologist | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1184905986 | JESSICA CAMILLE LARSON Individual | Counselor (Mental Health) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1386925188 | MEGAN COLLEEN WRONA Individual | Counselor (Mental Health) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1073692687 | MS. SANDRA ANN MEYER LCSW Individual | Social Worker (Clinical) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1518217496 | AMELIA MEADOWS COTA/L Individual | Occupational Therapy Assistant | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 946-1860 |
| 1811247711 | CRISTINA MELENDEZ Individual | Psychologist (Clinical Child & Adolescent) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
| 1568864114 | AMANDA AULBAUGH Individual | Psychologist (Clinical Child & Adolescent) | 350 S 400 E SALT LAKE CITY, UT 84111 (801) 582-5534 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235785452, enumerated in the NPI registry as an "individual" on August 13, 2019
The provider is located at 350 S 400 E Salt Lake City, Ut 84111 and the phone number is (801) 582-5534
The provider's speciality is Psychologist with taxonomy code 103T00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on August 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.