CORNERSTONE PROGRAMS


Address: 3116 Old Faithful Rd, Suite 200, Cheyenne, WY 82001-5892
Phone: 3075145592

CORNERSTONE PROGRAMS (NPI# 1164850699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164850699
Entity Type Organization
Organization Name CORNERSTONE PROGRAMS
Other Organization Name FUTURES FAMILY WELLNESS CENTER
Practice Address 3116 Old Faithful Rd
Suite 200
Cheyenne
WY 82001-5892
Practice Telephone 3075145592
Practice Fax Number 3075145593
Mailing Telephone 3075145592
Mailing Fax Number 3075145593
Enumeration Date 2013-10-18
Last Update Date 2013-10-18
Authorized Official Name EARL FAULKNER (CLINICAL DIRECTOR)
Authorized Official Telephone 3075145592
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
419 WY Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Futures Family Wellness Center Doing Business As Name - Organization

Office Location

Street Address 3116 OLD FAITHFUL RD
SUITE 200
City CHEYENNE
State WY
Zip Code 82001-5892

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1942729066 Brittany Heinzman Community Health Worker 2000 Westland Road Suite C, Cheyenne, WY 82001 2017-09-11
1144768086 Cheyenne Regional Home Home Care Services Case Management 214 E 23rd Street, Cheyenne, WY 82001 2017-02-10
1104360726 Jennifer Pannebaker Behavioral Analyst 813 Randall Ave, Cheyenne, WY 82001 2016-12-16
1053854703 Raven Coward Long Social Worker 821 East Pershing Blvd, Cheyenne, WY 82001 2016-11-29
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457532277 Carol Lynn Coleman Psychologist 201 W Lakeway Rd, Ste 516, Gillette, WY 82718-6361 2007-11-20

Competitor

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City CHEYENNE
Zip Code 82001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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