Skyline Mental Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SKYLINE MENTAL HEALTH SERVICES LLC

Practice address

1471 Dewar Dr Ste 232
Rock Springs, WY 82901-5885

Phone

(307) 350-8759

Fax

(307) 215-8337

NPI assigned

Aug 18, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SKYLINE MENTAL HEALTH SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Angelene Rounds, LCSW-784

Title

Clinical Director

Phone

(307) 350-8759

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Skyline Mental Health Services LLC

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1164034492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 DEWAR DR STE 232",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015885",
            "telephone_number": "307-350-8759",
            "fax_number": "307-215-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 DEWAR DR STE 232",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015885",
            "telephone_number": "307-350-8759",
            "fax_number": "307-215-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKYLINE MENTAL HEALTH SERVICES LLC",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "ROUNDS",
        "authorized_official_first_name": "ANGELENE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "307-350-8759",
        "authorized_official_credential": "LCSW-784"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregorycalzada@skylinementalhealthservices.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Theranest Electronic Record Keeping",
            "address_1": "1471 Dewar Dr Ste 232",
            "city": "Rock Springs",
            "state": "WY",
            "country_code": "US",
            "postal_code": "829015885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Koral Jo Shook, MSW
• Sharlotte Jane Shore, RNFA
• Heidi Shuler, MA, LPC, NCC
• Devon Siegel
• Donna M Simkin
• Angela Slinden, FNP-BC
• Alexandra Smith
• Christine E Smith
• Leslie Washburn Smith
• Michelle Marie Smith, OT

• Clinical Social Worker in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.