Active NPI
Ryan C Smith
- Marriage & Family Therapist
- Saratoga Springs, UT
National Provider Identifier
1063948545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111483453902
- Practice address
- 2542 S Palomino Dr
Saratoga Springs, UT 84045-6518 - Phone
- (801) 550-1107
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 111483453902 | UT | Primary |
Addresses
Primary practice location
2542 S Palomino Dr
Saratoga Springs, UT 84045-6518
Mailing address
2542 S Palomino Dr
Saratoga Springs, UT 84045-6518
Phone (801) 550-1107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111483453902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1063948545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 S PALOMINO DR",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840456518",
"telephone_number": "801-550-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 S PALOMINO DR",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840456518",
"telephone_number": "801-550-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RYAN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "111483453902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.