Brian Coats Riedesel, PH.D., B.CE.T.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1122822501 Issued in UT

Practice address

201 S 1460 E
Room 426 - Counseling Center
Salt Lake City, UT 84112-9099

Phone

(801) 581-6826

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1407013402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 1460 E",
            "address_2": "ROOM 426 - COUNSELING CENTER",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841129099",
            "telephone_number": "801-581-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 1460 E",
            "address_2": "ROOM 426 - COUNSELING CENTER",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841129099",
            "telephone_number": "801-581-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDESEL",
        "first_name": "BRIAN",
        "middle_name": "COATS",
        "name_prefix": "Dr.",
        "credential": "PH.D., B.CE.T.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "1122822501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1800",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000525706",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Rieck
• Suzanne L. Rieck, RPH
• Allison Beran Riederer, MS, RD
• Mark Frederick Riederer, MD
• Alice Riedesel
• Nicole Rieger
• Alexis Dawn Riegert
• Forest Luke Riekhof, MD
• Louis Joseph Riel, PHARMD
• Andrea Ries

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.