Emily Ruth Smith Putnam, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8729485-2504 Issued in UT

Practice address

668 E 12225 S Ste 202
Draper, UT 84020-8385

Phone

(801) 619-3569

NPI assigned

Jun 9, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily Ruth Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott W. Fidler, Psy.D.

  dba Draper Psychology and Counseling

  • Clinical Psychologist
  • Draper, UT
  • NPI 1760532162
  NPD (past)
• Rose City Therapists LLC

  • Professional Counselor
  • Portland, OR
  • NPI 1366036840

  Clinical

  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1457764318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 E 12225 S STE 202",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208385",
            "telephone_number": "801-619-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 E 12225 S STE 202",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208385",
            "telephone_number": "801-619-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "EMILY",
        "middle_name": "RUTH SMITH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "8729485-2504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REGISTRY",
            "identifier": "1164589669",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SMITH",
            "middle_name": "RUTH",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hadleigh Pruett
• Raima Puntso
• Pure Life Recovery
• Alicia Purrell
• Rachael Pust
• August Capri Quaife, MOTR/L, LMT
• Catherine Quebodeaux, RD
• Quintessence Health and Wellness
• Jackson Quist
• R.P. Consulting L.L.C

• Clinical Psychologist in Draper, UT
• Providers in Draper, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.