Active NPI
Matthew Barkdull
- Marriage & Family Therapist
- Salt Lake City, UT
National Provider Identifier
1902055841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-3056
- Practice address
- 132 S State St
Suite 100
Salt Lake City, UT 84111-1506 - Phone
- (801) 240-6296
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 | LMFT-3056 | ID | Primary |
Addresses
Primary practice location
132 S State St
Suite 100
Salt Lake City, UT 84111-1506
Mailing address
132 S State St
Suite 100
Salt Lake City, UT 84111-1506
Phone (801) 240-6296
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-3056 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1902055841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S STATE ST",
"address_2": "SUITE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111506",
"telephone_number": "801-240-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S STATE ST",
"address_2": "SUITE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111506",
"telephone_number": "801-240-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKDULL",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-3056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.