DR. DOUGLAS JOHN SCAMBLER (NPI# 1871652248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871652248 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS JOHN SCAMBLER |
| Credential | PH.D. |
| Practice Address |
507 S 4th St Suite A Laramie WY 82070-3753 |
| Practice Telephone | 3074600120 |
| Practice Fax Number | 3077424089 |
| Mailing Telephone | 3074600120 |
| Mailing Fax Number | 3077424089 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
448 | WY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
448 | WY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
965 | OK | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
448 | WY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
965 | OK | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
448 | WY | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
965 | OK | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
448 | WY | Behavioral Health & Social Service Providers |
| Street Address |
507 S 4TH ST SUITE A |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548656523 | Kelly Petrino, Psyd | Psychologist | 507 S 4th St, Laramie, WY 82070-3753 | 2015-04-07 |
| 1609277227 | Emily Siegel, Lcsw PC | Social Worker | 507 S 4th St, Laramie, WY 82070-3753 | 2014-09-15 |
| 1861824203 | Stephanie Joyce Hanson | Counselor | 507 S 4th St, Laramie, WY 82070-3753 | 2013-08-08 |
| 1255675815 | Tara Clapp | Psychologist | 507 S 4th St, Laramie, WY 82070-3753 | 2012-11-20 |
| 1639328040 | Anne C Bunn Phd LLC | Psychologist | 507 S 4th St, Suite B, Laramie, WY 82070-3753 | 2008-09-10 |
| 1174798375 | Cynthia M Hartung | Psychologist | 507 S 4th St, Suite A, Laramie, WY 82070-3753 | 2008-04-28 |
| 1871717306 | Gay Deitrich-maclean PC | Psychologist | 507 S 4th St, Suite B, Laramie, WY 82070-3729 | 2007-04-13 |
| 1003030511 | Vivian Gay Deitrich-maclean | Psychologist | 507 S 4th St, Suite B, Laramie, WY 82070-3729 | 2007-04-13 |
| 1437277910 | Gillian Emily Siegel | Social Worker | 507 S 4th St, Laramie, WY 82070-3753 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508283946 | Christine Mckibbin | Psychologist | 2524 Dover Dr, Laramie, WY 82072-2990 | 2014-03-24 |
| 1154580140 | Anne Catherine Fitzgerald | Psychologist | 1465 N 4th St Ste 113, Laramie, WY 82072-2066 | 2008-06-04 |
| 1053449512 | Martha Esther Schilling | Psychologist | 700 S 18th St, Laramie, WY 82070-4305 | 2007-02-28 |
| 1841399383 | Judith K. Olson | Psychologist | 526 Regency Dr, Laramie, WY 82070-5106 | 2006-09-21 |
| 1205447661 | Tess Monet Kilwein | Psychologist | 1000 E University Ave, Laramie, WY 82071-2001 | 2020-08-11 |
| 1154622355 | University of Wyoming - Wyoming Institute for Disabilities | Psychologist | 1000 E University Ave, University of Wyoming, Dept. 4298, Laramie, WY 82071-2000 | 2010-11-04 |
| 1336478643 | Joyce Surdam | Psychologist | 1277 N 15th St, Laramie, WY 82072-2343 | 2009-12-15 |
| 1174798375 | Cynthia M Hartung | Psychologist | 507 S 4th St, Suite A, Laramie, WY 82070-3753 | 2008-04-28 |
| 1346418753 | Keith Evashevski | Psychologist | 1050 N 3rd St, Suite B1, Laramie, WY 82072-2544 | 2008-02-19 |
| 1275740763 | Brett Deacon | Psychologist | 1000 E University Ave, University of Wyoming, Dept. #3415, Laramie, WY 82071-2000 | 2007-05-16 |
| Find all providers in LARAMIE | ||||
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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.