Cheryl A Godley, PH. D.

Individual provider Active NPI Counseling Psychologist · Casper, WY

NPI 1184802175 · NPPES record last updated Feb 22, 2008

Key facts

NPI
1184802175
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
274 (WY)
Practice address
1607 Cy Ave
Suite 302
Casper, WY 82604-3572
Phone
(307) 234-0500
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1607 Cy Ave
Suite 302
Casper, WY 82604-3585
Phone (307) 234-0500

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080317000057 WY Practitioner - Clinical Psychologist 0446335343 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
274WYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Windy Ridge Psychological Services, PC Current
since Jul 22, 1996
Accepting new patients

Locations

1607 Cy Ave
Ste 302
Casper, WY 82604
Phone (307) 234-0500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 274 WY Yes

Addresses

Primary practice location

1607 Cy Ave
Suite 302
Casper, WY 82604-3572

Mailing address

1607 Cy Ave
Suite 302
Casper, WY 82604-3572
Phone (307) 234-0500

Other providers in Casper, WY

All providers in Casper, WY · Counseling Psychologist in Wyoming

Sources for this page

Verify at the official NPI Registry.