MIND SPA, PC (NPI# 1427351873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427351873 |
| Entity Type | Organization |
| Organization Name | MIND SPA, PC |
| Other Organization Name | MIND SPA |
| Practice Address |
719 E 17th St Cheyenne WY 82001-4711 |
| Practice Telephone | 3075090772 |
| Practice Fax Number | 3074264133 |
| Mailing Telephone | 3075090772 |
| Mailing Fax Number | 3074264133 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. SHERI JOLENE FLUELLEN (CEO) |
| Authorized Official Telephone | 3075090772 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3495 | CO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
498 | WY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3495 | CO | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
498 | WY | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
3495 | CO | Behavioral Health & Social Service Providers |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
WY498 | Ambulatory Health Care Facilities | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
WY498 | WY | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
498 | WY | Ambulatory Health Care Facilities |
| Y | 103T00000X | Psychologist | 498 | WY | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Mind Spa | Doing Business As Name - Organization |
| Street Address |
719 E 17TH ST |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750560991 | David Scott Briggs | Counselor | 719 E 17th St, Cheyenne, WY 82001-4711 | 2007-10-24 |
| 1134665474 | Megan Mcghee | Social Worker | 719 E 17th St, Cheyenne, WY 82001-4711 | 2017-01-10 |
| 1407308893 | Melanie Hite | Counselor | 719 E 17th St, Cheyenne, WY 82001-4711 | 2016-11-01 |
| 1528464831 | Brandon Robert Dixon | Social Worker | 719 E 17th St, Cheyenne, WY 82001-4711 | 2014-11-13 |
| 1154687465 | Douglas Blocksma | Counselor | 719 E 17th St, Cheyenne, WY 82001-4711 | 2012-04-11 |
| 1821329822 | Mary T Kelly | Social Worker | 719 E 17th St, Cheyenne, WY 82001-4711 | 2010-01-15 |
| 1477707321 | Sheri J Fluellen | Psychologist | 719 E 17th St, Cheyenne, WY 82001-4711 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 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 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245730399 | Alpine Mental Health, LLC | Psychologist | 2015 Central Ave Ste F, Cheyenne, WY 82001-3754 | 2018-02-15 |
| 1679879803 | Jennifer Ann Barth | Psychologist | 1920 Thomes Ave Ste 500, Cheyenne, WY 82001-3547 | 2011-02-05 |
| 1588785190 | Winds of Change Psychological Services PC | Psychologist | 109 E 17th St, Suite 35, Cheyenne, WY 82001-4543 | 2007-04-02 |
| 1679633788 | Grant Robert Fleming | Psychologist | 1001 West 31st Street, Cheyenne, WY 82001 | 2006-12-11 |
| 1235156043 | Ruth Ann Van Vranken | Psychologist | 518 E 19th St, Cheyenne, WY 82001-4646 | 2006-07-16 |
| 1912937749 | Carol J. Erickson, Psyd., P.C. | Psychologist | 620 W 19th St, Ste 6, Cheyenne, WY 82001-4307 | 2006-07-04 |
| 1912964487 | Frances L Price | Psychologist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2006-04-28 |
| 1487012092 | Psychological and Consulting Services, P.C. | Psychologist | 1001 W 31st St, Cheyenne, WY 82001-2442 | 2016-02-10 |
| 1619335627 | Steven D. Newman, Psy.d, Abpp, PC | Psychologist | 1401 Airport Pkwy, Suite 120, Cheyenne, WY 82001-1518 | 2016-02-04 |
| 1922353986 | Tamara Morris | Psychologist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2012-07-16 |
| Find all providers in CHEYENNE | ||||
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| 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.