Active NPI
Chaitra Wirta-Leiker, PSY.D.
- Psychologist
- Cheyenne, WY
National Provider Identifier
1235333667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 515
- Practice address
- 1401 Airport Pkwy
Suite 120
Cheyenne, WY 82001-1518 - Phone
- (307) 632-7771
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 515 | WY | Primary |
| Clinical Psychologist | 103TC0700X | 515 | WY | |
| Counseling Psychologist | 103TC1900X | 515 | WY |
Addresses
Primary practice location
1401 Airport Pkwy
Suite 120
Cheyenne, WY 82001-1518
Mailing address
1401 Airport Pkwy
Suite 120
Cheyenne, WY 82001-1518
Phone (307) 632-7771
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515 | WY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1235333667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 AIRPORT PKWY",
"address_2": "SUITE 120",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011518",
"telephone_number": "307-632-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 AIRPORT PKWY",
"address_2": "SUITE 120",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011518",
"telephone_number": "307-632-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTA-LEIKER",
"first_name": "CHAITRA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "515",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "515",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WY",
"license": "515",
"primary": false
}
],
"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 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.