Active NPI
Craig B Rodabough, M.S.
- Marriage & Family Therapist
- Washington, UT
National Provider Identifier
1740633023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 333856-3902
- Practice address
- 926 N Catalpa Dr
Washington, UT 84780-8882 - Phone
- (801) 633-3653
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 333856-3902 | UT | Primary |
Addresses
Primary practice location
926 N Catalpa Dr
Washington, UT 84780-8882
Mailing address
926 N Catalpa Dr
Washington, UT 84780-8882
Phone (801) 633-3653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333856-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1740633023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 N CATALPA DR",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847808882",
"telephone_number": "801-633-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 N CATALPA DR",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847808882",
"telephone_number": "801-633-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODABOUGH",
"first_name": "CRAIG",
"middle_name": "B",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "333856-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.