Silver Sage Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SILVER SAGE PSYCHIATRY

Practice address

103 N 5TH St E
Riverton, WY 82501-4402

Phone

(307) 288-2328

Fax

(307) 448-4606

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Marisha Lee Vanvleet, APRN-CNP, PMHNP-BCNPI 1730856147

Title

Owner

Phone

(307) 288-2328

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lander, WY
  • NPI 1730856147
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1164106969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681549603",
            "telephone_number": "307-288-2328",
            "fax_number": "307-448-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 5TH ST E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014402",
            "telephone_number": "307-288-2328",
            "fax_number": "307-448-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SAGE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "VANVLEET",
        "authorized_official_first_name": "MARISHA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-288-2328",
        "authorized_official_credential": "APRN-CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jace-Anne C Sharp, DPT
• Rachael Shaw
• Sheridan Vamc
• Robert Michael Shields, MS, CCC-SLP
• Brianne Marie Siebert, DNP, FNP-C
• Carol E Sims, CASE MANAGER
• Kaitlyn Slagowski, PPC
• Kathy Smith
• Kersten Smith, CF-SLP
• Shaniya Smith

• Psychiatric/Mental Health Nurse Practitioner in Riverton, WY
• Providers in Riverton, WY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.