Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSON ROYAL RICHARDS MD, PHD
NPI 1972244655
Psychiatry & Neurology - Psychiatry in South Salt Lake, UT

Q: What is Jackson Richards's NPI number?

The NPI number for Jackson Richards is 1972244655. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jackson Richards's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Richards was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

955 W 3300 S, SOUTH SALT LAKE, UT 84119(801) 583-2500 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2022, Apr 5, 2022 (2 updates tracked since 2022).

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About Jackson Royal Richards Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON ROYAL RICHARDS MD, PHD (NPI 1972244655) is an individual psychiatry provider in South Salt Lake, Utah, licensed in Iowa (R-12525) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Utah School Of Medicine (2022).

NPPES Registry Identity

NPI1972244655

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJACKSON ROYAL RICHARDSCredential: MD, PHD

Location Address955 W 3300 SSouth Salt Lake, UT 84119-3325

Mailing Address10954 S Coastal Dune DrSouth Jordan, UT 84009-4706 · (319) 356-1373

Phone(801) 583-2500

Sole ProprietorYes

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1972244655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IA · R-12525

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

955 W 3300 S, South Salt Lake, UT 84119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Royal Richards Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739560335

PECOS Enrollment IDI20240920000511

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160082

Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER WHITAKER LCSW

Social Worker (Clinical)