Dominic Schmuck, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

11881310-2501 Issued in UT

Practice address

1032 W 1500 S
Springville, UT 84663-5912

Phone

(385) 200-0204

NPI assigned

Sep 27, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

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 and National Provider Directory roles.

• Associates in Counseling and Psychotherapy

  • Clinical Psychologist
  • New Albany, IN
  • NPI 1801948062
  NPD (past)
• Associates in Counseling and Psychtherapy

  • Community/Behavioral Health Agency
  • New Albany, IN
  • NPI 1114330271
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1689159410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 W 1500 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635912",
            "telephone_number": "801-941-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 W 1500 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635912",
            "telephone_number": "385-200-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUCK",
        "first_name": "DOMINIC",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "11881310-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Salisbury
• Diana Sanchez
• Ivan Sanchez
• Tanya Nicole Santiago
• Sydney Schaeler, RN
• John R Schouten, D.D.S., M.S.
• Rickey Sealey, RN
• Denise Brown Seda, RN
• Senior Solutions Group Inc.
• Terry Crosby Shammo

• Counseling Psychologist in Springville, UT
• Providers in Springville, UT by specialty
• Counseling Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.