High Desert Psychology and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

306 Issued in WY

Legal business name

HIGH DESERT PSYCHOLOGY AND WELLNESS

Practice address

191 Overthrust Rd
Evanston, WY 82930-9261

Phone

(435) 631-9918

NPI assigned

Feb 23, 2018

Last updated

Mar 17, 2018By 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. Adam K Fuller, PH.D.NPI 1255476131

Title

President/Ceo/Clinical Director

Phone

(435) 631-9918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, UT2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Adam K Fuller, PH.D.

  • Clinical Psychologist
  • Evanston, WY
  • NPI 1255476131

  UT

  Medicare reassignment NPD Authorized official
• Pamela R Fuller, PHD

  • Psychologist
  • Evanston, WY
  • NPI 1053469452

  UT

  Medicare reassignment
• Patrick Joseph Lewis, PSYD

  • Psychologist
  • Salt Lake City, UT
  • NPI 1275846412
  NPD

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1194226266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HAYDEN AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305606",
            "telephone_number": "435-631-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 OVERTHRUST RD",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309261",
            "telephone_number": "435-631-9918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 E South Temple",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021142",
            "country_code": "US",
            "telephone_number": "435-631-9918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGH DESERT PSYCHOLOGY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "435-631-9918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WY",
            "license": "306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Country Behavioral Health
• High Country Behavioral Health
• High Country Behavioral Health
• High Country Behavioral Health
• High Country Behavioral Health
• High Desert Wound Solutions, LLC
• Jay Hill, MSA
• Kenna J Hill, BA
• Troy Hill, RN
• Emileigh Hillstead

• Mental Health Clinic/Center (Including Community Mental Health Center) in Evanston, WY
• Providers in Evanston, WY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.