Carol A. Pastore-Watkins, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

304 Issued in WY

Practice address

1221 W 5TH St
Sheridan, WY 82801-2701

Phone

(307) 674-4405

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2009.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1255458295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012701",
            "telephone_number": "307-674-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012701",
            "telephone_number": "307-674-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORE-WATKINS",
        "first_name": "CAROL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "22448",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy J Parish, FNPC
• Kevin James Parker
• Michelle Renee Parker, APRN-FNP-BC
• Amanda Parks, M.ED, CRC, LPC
• Janna Parrott, PHARM. D
• Patmos Health LLC
• Nichola Antoinette Patton, DNP, MBA, AGACNP-BC
• Michael Dean Patty, L.AC.
• Chelsea Paulus, MS, CCC-SLP
• Elizabeth A Payne

• All providers in Sheridan, WY
• Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.