NPIMap

Organization Active NPI

Tracey Dwyer Marriage and Family Therapist Inc.

  • Marriage & Family Therapist
  • Park City, UT
National Provider Identifier
1457935348
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TRACEY DWYER MARRIAGE AND FAMILY THERAPIST INC.
Practice address
3022 Lower Saddleback Rd
Park City, UT 84098-4850
Phone
(800) 435-9192
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Tracey Anne Dwyer, LMFTNPI 1467803916
Title
Owner
Phone
(354) 800-9192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3022 Lower Saddleback Rd
Park City, UT 84098-4850

Mailing address

PO Box 980301
Park City, UT 84098-0301
Phone (435) 800-9192

Other identifiers 1

IdentifierTypeStateIssuer
12229368-0142OtherUTCORPORATE ID

Other names 1

  • Tracey Dwyer Marriage and Family Therapist Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1457935348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980301",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840980301",
            "telephone_number": "435-800-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 LOWER SADDLEBACK RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984850",
            "telephone_number": "800-435-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY DWYER MARRIAGE AND FAMILY THERAPIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "354-800-9192",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE ID",
            "identifier": "12229368-0142",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracey Dwyer Marriage and Family Therapist Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.