Individual provider Active NPI

Ruth Ann Van Vranken, PH.D

  • Psychologist
  • Cheyenne, WY
National Provider Identifier
1235156043
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
212 Issued in WY
Practice address
518 E 19TH St
Cheyenne, WY 82001-4646
Phone
(307) 637-6146
Fax
(307) 433-8107
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 212 WY Primary

Addresses

Primary practice location

518 E 19TH St
Cheyenne, WY 82001-4646

Mailing address

518 E 19TH St
Cheyenne, WY 82001-4646
Phone (307) 637-6146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
212WYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1235156043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014646",
            "telephone_number": "307-637-6146",
            "fax_number": "307-433-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014646",
            "telephone_number": "307-637-6146",
            "fax_number": "307-433-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VRANKEN",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.