IndividualActive
Jonathan Ravarino, PHD
NPI 1881926269 · Psychologist · Salt Lake City, UT
Provider details
- NPI number
- 1881926269
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5179442-2501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 S 1460 E Rm 426
Salt Lake City, UT 84112-9061
Phone: (801) 918-5275
Approximate (ZIP-level) locationGet directions
Mailing address
2665 S 1900 E
Salt Lake City, UT 84106-4155
Registry dates
- Enumerated
- 2010-02-09
- Last updated
- 2010-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.