Individual provider Active NPI

Robyn Riley, PH.D.

  • Psychologist
  • Draper, UT
National Provider Identifier
1285217810
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11903554-2501 Issued in UT
Practice address
723 E 12200 S Ste 100
Draper, UT 84020-9885
Phone
(801) 369-8989
NPI assigned
May 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11903554-2501 UT Primary

Addresses

Primary practice location

723 E 12200 S Ste 100
Draper, UT 84020-9885

Mailing address

723 E 12200 S Ste 100
Draper, UT 84020-9885
Phone (801) 369-8989

Other practice location 1

4578 S Highland Dr Ste 300
Millcreek, UT 84117-4214
Phone (801) 877-1782

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11903554-2501UTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1285217810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E 12200 S STE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209885",
            "telephone_number": "801-369-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E 12200 S STE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209885",
            "telephone_number": "801-369-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4578 S Highland Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841174214",
            "country_code": "US",
            "telephone_number": "801-877-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "11903554-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.