Matthew John Hiltebrand

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

881 Issued in WY

Practice address

307 Colorado Ave
Casper, WY 82609-1716

Phone

(307) 485-5997

NPI assigned

Nov 11, 2024

Last updated

Sep 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Ridge Behavioral Healthcare LLCGroup PAC ID 6800281254, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Ridge Behavioral Healthcare, LLC

  dba Park Ridge Psychological Services

  • Clinical Psychologist
  • Casper, WY
  • NPI 1851624662
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1235953977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LADERA LN APT 1710",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "969135876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 COLORADO AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826091716",
            "telephone_number": "307-485-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTEBRAND",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney C Hill, D.D.S.
• Samantha Hiller
• Shannon Hillibush, MPA, MA, PPC, NCCC
• Elizabeth Hills, DO
• Hilltop Family Dental
• Sharon Rae Hiner
• Arthur Thomas Hines, BA PSYCHOLOGY
• Ericka Lynn Hinton
• Janet Christine Hinz
• Michelle Lee Hipsak, DNP, APRN, PMHNP

• Clinical Psychologist in Casper, WY
• Providers in Casper, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.