Active NPI
Brian L. Smith, PHD
- Psychologist
- Layton, UT
National Provider Identifier
1376600072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 110448-2501
- Practice address
- 1916 N. 700 W
Suite 220
Layton, UT 84041 - Phone
- (801) 201-0908
- Fax
- (801) 446-1554
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 110448-2501 | UT | Primary |
Addresses
Primary practice location
1916 N. 700 W
Suite 220
Layton, UT 84041
Mailing address
10058 Memorybook Way
South Jordan, UT 84095-4552
Phone (801) 201-0908
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110448-2501 | UT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376600072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10058 MEMORYBOOK WAY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840954552",
"telephone_number": "801-201-0908",
"fax_number": "801-446-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 N. 700 W",
"address_2": "SUITE 220",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-201-0908",
"fax_number": "801-446-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "110448-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.