Active NPI
Matthew Craddock, MD
- Psychiatry Physician
- Murray, UT
National Provider Identifier
1265058994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14257747-1205
- Practice address
- 5965 S 900 E Ste 100
Murray, UT 84121-1850 - Phone
- (678) 378-8448
- NPI assigned
- Jun 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12008 | GA | |
| Psychiatry Physician | 2084P0800X | 14257747-1205 | UT | Primary |
Addresses
Primary practice location
5965 S 900 E Ste 100
Murray, UT 84121-1850
Mailing address
5965 S 900 E Ste 100
Murray, UT 84121-1850
Phone (678) 378-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5965 S 900
Suite 100
Murray, UT 84121-1850
Phone (385) 419-4261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14257747-1205 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascendant Behavioral Health LLC | Single Specialty | Current | Accepting new patients |
Locations
172 E 14075 S
Draper, UT 84020
Phone (801) 899-0732
3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913
5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146
Networks
- UT PPO D-SNP
- UT PPO
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764201600000",
"number": "1265058994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 S 900 E STE 100",
"city": "MURRAY",
"state": "UT",
"postal_code": "841211850",
"telephone_number": "678-378-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 S 900 E STE 100",
"city": "MURRAY",
"state": "UT",
"postal_code": "841211850",
"telephone_number": "678-378-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRADDOCK",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2025-11-27",
"certification_date": "2025-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "12008",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "14257747-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.