Individual provider Active NPI

Richard S Schneiman, PHD

  • Clinical Psychologist
  • Holladay, UT
National Provider Identifier
1427128461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1069652501 Issued in UT
Practice address
5636 S Waterbury Way
Suite 202-C
Holladay, UT 84121
Phone
(801) 278-0200
Fax
(801) 273-0322
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1069652501 UT Primary

Addresses

Primary practice location

5636 S Waterbury Way
Suite 202-C
Holladay, UT 84121

Mailing address

5636 S Waterbury Way
Suite 202-C
Holladay, UT 84121
Phone (801) 278-0200

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000368 UT Practitioner - Clinical Psychologist 5991946188 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5635 S Waterbury Way
Suite C202
Salt Lake City, UT 84121-6210

5635 S Waterbury Way C
Suite 202
Salt Lake City, UT 84121-6210
Phone (801) 278-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1069652501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Scoville LLC PastSince Jan 6, 2015 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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427128461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 S WATERBURY WAY",
            "address_2": "SUITE 202-C",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-278-0200",
            "fax_number": "801-273-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 S WATERBURY WAY",
            "address_2": "SUITE 202-C",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-278-0200",
            "fax_number": "801-273-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIMAN",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "1069652501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.