NORTHERN WYOMING MENTAL HEALTH CENTER, INC. (NPI# 1548545106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548545106 |
| Entity Type | Organization |
| Organization Name | NORTHERN WYOMING MENTAL HEALTH CENTER, INC. |
| Practice Address |
521 W Lott St Buffalo WY 82834-1642 |
| Practice Telephone | 3076845531 |
| Practice Fax Number | 3076842912 |
| Mailing Telephone | 3076845531 |
| Mailing Fax Number | 3076842912 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | PAUL E. DEMPLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3076728958 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106072407 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1558415927 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1-2 Main St, Sundance, WY 82729-0646 | 2007-01-23 |
| 1386798239 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 521 W Lott St, Buffalo, WY 82834-1642 | 2007-01-22 |
| 1013292473 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1221 W 5th St, Sheridan, WY 82801-2701 | 2011-10-18 |
| 1093090656 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2011-10-14 |
| 1588948673 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2011-10-06 |
| 1619021912 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1221 W 5th St, Sheridan, WY 82801-2701 | 2007-01-23 |
| 1952455834 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2007-01-22 |
| Street Address |
521 W LOTT ST |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386798239 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 521 W Lott St, Buffalo, WY 82834-1642 | 2007-01-22 |
| 1295368371 | Nick Alan Riemenschneider | Counselor | 521 W Lott St, Buffalo, WY 82834-1642 | 2020-02-18 |
| 1215498969 | Kayla Rochester | Counselor | 521 W Lott St, Buffalo, WY 82834-1642 | 2019-03-26 |
| 1396080917 | Tyler Broderick | Counselor | 521 W Lott St, Buffalo, WY 82834-1642 | 2012-12-07 |
| 1750671699 | Kirk D Parry | Community Health Worker | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-04-12 |
| 1548566755 | Sydney Marie Rowe | Social Worker | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-02-04 |
| 1740511484 | Dusty Rose Mcbride-thom | Case Manager/Care Coordinator | 521 W Lott St, Buffalo, WY 82834-1642 | 2010-01-20 |
| 1760637813 | Jodi M Verplancke | Social Worker | 521 W Lott St, Buffalo, WY 82834-1642 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013311802 | Twin Cities Behavioral Health PC | Clinic/Center | 2 Division St E Ste 103, Buffalo, MN 55313-1774 | 2014-10-22 |
| 1942486717 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts, Inc | Clinic/Center | 254 Virginia St, Buffalo, NY 14201 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837682 | Chrysalis Treatment Center, Inc. | Clinic/Center | 137 S Division St, Powell, WY 82435-2409 | 2018-10-16 |
| 1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
| 1902213093 | White Buffalo Recovery Center | Clinic/Center | #22 Great Plains Rd, Arapahoe, WY 82510 | 2014-07-21 |
| 1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
| 1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
| 1265751309 | Eastern Shoshone Recovery | Clinic/Center | #7 Shipton Lane, Fort Washakie, WY 82514-0538 | 2010-05-28 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1578765749 | With Eagle's Wings | Clinic/Center | 11 Great Plain Road, Arapahoe, WY 82524-0197 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHERN WYOMING MENTAL HEALTH CENTER, INC..
| 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.