Individual provider Active NPI

Kaitlyn Camilla Card, PSYD

  • Clinical Psychologist
  • Sheridan, WY
National Provider Identifier
1043895550
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
743 Issued in WY
Practice address
1949 Sugarland Dr Ste 200
Sheridan, WY 82801-5765
Phone
(661) 788-5354
NPI assigned
Mar 16, 2021
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 743 WY
Clinical Psychologist 103TC0700X 0810008851 VA
Clinical Psychologist 103TC0700X 743 WY Primary

Addresses

Primary practice location

1949 Sugarland Dr Ste 200
Sheridan, WY 82801-5765

Mailing address

1949 Sugarland Dr Ste 200
Sheridan, WY 82801-5765
Phone (661) 788-5354

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address card@dynamic-reflections.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522001274 WY Practitioner - Clinical Psychologist 2860911849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Sheridan, WY 82801
Phone (661) 788-5354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810008851VAMDClinical Psychologist
743WYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Reflections Clinical CurrentSince May 8, 2025 Accepting new patients

Locations

1949 Sugarland Dr
Ste 200
Sheridan, WY 82801
Phone (307) 461-9891

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1043895550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015765",
            "telephone_number": "661-788-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015765",
            "telephone_number": "661-788-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARD",
        "first_name": "KAITLYN",
        "middle_name": "CAMILLA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "743",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008851",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "card@dynamic-reflections.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1949 Sugarland Dr Ste 200",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828015765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.