Organization Active NPI

Alpine Mental Health, LLC

  • Psychologist
  • Cheyenne, WY
National Provider Identifier
1245730399
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
643 Issued in WY
Legal business name
ALPINE MENTAL HEALTH, LLC
Practice address
2015 Central Ave Ste F
Cheyenne, WY 82001-3754
Phone
(307) 222-4376
NPI assigned
Feb 15, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Thomas L. Wykes Jr., PH.D.NPI 1407362874
Title
Psychologist
Phone
(307) 222-4376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 643 WY Primary

Addresses

Primary practice location

2015 Central Ave Ste F
Cheyenne, WY 82001-3754

Mailing address

2015 Central Ave Ste F
Cheyenne, WY 82001-3754
Phone (307) 222-4376

Other practice location 1

526 Regency Dr
Laramie, WY 82070-5106
Phone (307) 745-5414

National Provider Directory

National Provider Directory

Locations

2015 Central Ave
Ste F
Cheyenne, WY 82001
Phone (307) 222-4376

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1245730399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 CENTRAL AVE STE F",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013754",
            "telephone_number": "307-222-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CENTRAL AVE STE F",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013754",
            "telephone_number": "307-222-4376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Regency Dr",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820705106",
            "country_code": "US",
            "telephone_number": "307-745-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALPINE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WYKES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "307-222-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "643",
            "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 Mar 17, 2018; 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.