Active NPI
Joseph Daniel Tschudy, MFT
- Marriage & Family Therapist
- South Ogden, UT
National Provider Identifier
1356653109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77058603904
- Practice address
- 5150 S Washington Blvd
Suite 1
South Ogden, UT 84405-4506 - Phone
- (801) 337-0067
- Fax
- (801) 337-0070
- NPI assigned
- Jul 9, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 77058603904 | UT | Primary |
Addresses
Primary practice location
5150 S Washington Blvd
Suite 1
South Ogden, UT 84405-4506
Mailing address
4701 Burch Creek Dr
Ogden, UT 84403-4123
Phone (801) 710-8301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77058603904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Brooks Crossroads | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- South Ogden, UT
- NPI 1710207303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1356653109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 BURCH CREEK DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034123",
"telephone_number": "801-710-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 S WASHINGTON BLVD",
"address_2": "SUITE 1",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844054506",
"telephone_number": "801-337-0067",
"fax_number": "801-337-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSCHUDY",
"first_name": "JOSEPH",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "77058603904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.