COWBOY PSYCHOLOGICAL SERVICES PC – NPI #1649795907
Clinic/Center

COWBOY PSYCHOLOGICAL SERVICES PC is an AHC clinic located in WORLAND, WY. NPPES has assigned the NPI number 1649795907 to COWBOY PSYCHOLOGICAL SERVICES PC on August 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COWBOY PSYCHOLOGICAL SERVICES PC below.

NPI Profile for
COWBOY PSYCHOLOGICAL SERVICES PC

NPI Number
1649795907
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COWBOY PSYCHOLOGICAL SERVICES PC
Primary location
1123 BIG HORN AVE STE A
WORLAND, WY 82401-2814
Phone: (307) 347-2717 Fax: (307) 347-2713
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WAYNE REYNOLDS
CLINICAL PSYCHOLOGIST
Phone: (307) 347-2717
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
WY 497

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.