Gloria D Rutt PSYD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

422 Issued in WY

Legal business name

GLORIA D RUTT PSYD PC

Practice address

2305 Coulter Drive
Cheyenne, WY 82009

Phone

(307) 286-4106

Fax

(307) 632-6588

NPI assigned

Sep 29, 2006

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Diane Rutt, PSYDNPI 1417906850

Title

President

Phone

(307) 286-4106

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Diane Rutt, PSYD

  • Clinical Psychologist
  • Cheyenne, WY
  • NPI 1417906850
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1063504611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 COULTER DRIVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009",
            "telephone_number": "307-286-4106",
            "fax_number": "307-632-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 COULTER DRIVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009",
            "telephone_number": "307-286-4106",
            "fax_number": "307-632-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA D RUTT PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "RUTT",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-286-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123535400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Give US Strength Physical Therapy
• Georgios Gkotsis, M.D.
• Carrie Ellen Glanz, RPH
• Jessica Glaze
• John Edward Glode, M.D.
• Sullivan Thomas Glover, RN
• Kayley Goertzen, MSOT
• Alexandra Paige Goltz, OTR/L
• Gomedi Inc
• Veronica Gomez

• Clinical Psychologist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.