Active NPI
Ralph William Knapp, M.D.
- Child & Adolescent Psychiatry Physician
- North Salt Lake, UT
National Provider Identifier
1073674768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 1618901205
- Practice address
- 1130 W Center St
North Salt Lake, UT 84054-2917 - Phone
- (801) 936-4000
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 1618901205 | UT | Primary |
Addresses
Primary practice location
1130 W Center St
North Salt Lake, UT 84054-2917
Mailing address
410 Cynthia Way
North Salt Lake, UT 84054-1763
Phone (801) 860-5052
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1618901205 | UT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Past | Accepting new patients | |
| Valley Behavioral Health Incorporated | Child & Adolescent Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Child & Adolescent Psychiatry
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1124085170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1073674768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CYNTHIA WAY",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840541763",
"telephone_number": "801-860-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W CENTER ST",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840542917",
"telephone_number": "801-936-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "RALPH",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "UT",
"license": "1618901205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.