Individual provider Active NPI

Matthew Craddock, MD

  • Psychiatry Physician
  • Murray, UT
National Provider Identifier
1265058994
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14257747-1205 Issued in UT
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

Updated by the provider on Nov 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12008 GA
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202000639 UT Practitioner - Psychiatry 1557786027 Reassigns benefits to 1 organization

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
Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

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

LicenseStateTypeSpecialty
14257747-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendant Behavioral Health LLC Single Specialty CurrentSince Jan 12, 2026 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

Verify at the official NPI Registry.