NPIMap

Organization Active NPI

University of Wyoming - Wyoming Institute for Disabilities

  • Clinical Psychologist
  • Laramie, WY
National Provider Identifier
1154622355
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
287 Issued in WY
Legal business name
UNIVERSITY OF WYOMING - WYOMING INSTITUTE FOR DISABILITIES
Practice address
1000 E University Ave
University of Wyoming, Dept. 4298
Laramie, WY 82071-2000
Phone
(307) 766-2761
Fax
(307) 766-2763
NPI assigned
Nov 4, 2010
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. William E Maclean, PHD
Title
Executive Director
Phone
(307) 766-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 287 WY Primary

Addresses

Primary practice location

1000 E University Ave
University of Wyoming, Dept. 4298
Laramie, WY 82071-2000

Mailing address

1000 E University Ave
University of Wyoming, Dept. 4298
Laramie, WY 82071-2000
Phone (307) 766-2761

National Provider Directory

National Provider Directory
Tax ID family
U W Family Prac at Casp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1154622355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE",
            "address_2": "UNIVERSITY OF WYOMING, DEPT. 4298",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-766-2761",
            "fax_number": "307-766-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE",
            "address_2": "UNIVERSITY OF WYOMING, DEPT. 4298",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-766-2761",
            "fax_number": "307-766-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WYOMING - WYOMING INSTITUTE FOR DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "MACLEAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-766-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.