Marycatherine Smith Psy.D. Incorporated

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9649381-2501 Issued in UT

Legal business name

MARYCATHERINE SMITH PSY.D. INCORPORATED

Practice address

11075 S State St Ste 16
Sandy, UT 84070-5196

Phone

(845) 216-9738

Fax

(801) 996-3762

NPI assigned

Sep 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marycatherine Smith, PSY.D.

Title

President

Phone

(845) 216-9738

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1023536786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 S CRESCENT BEND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705290",
            "telephone_number": "845-216-9738",
            "fax_number": "801-996-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 16",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705196",
            "telephone_number": "845-216-9738",
            "fax_number": "801-996-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYCATHERINE SMITH PSY.D. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARYCATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-216-9738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "9649381-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Martin, DDS
• Janeen Erin Martin, CSW
• Karlos Eric Martin, CERTIFIED PEER SUPT
• Suzanne Gordon Martin, MS, CCC-SLP
• Tony Martinez
• Penina Mase
• Connie C Mason, LCSW
• Samantha Nelle Mason
• Tiffany Yee Lee Mak Mason, LCSW
• Daniel L Masson, D.D.S.

• Psychologist in Sandy, UT
• Providers in Sandy, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.