Active NPI
Nicole Rue, Psy.D., LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, WY
National Provider Identifier
1295211787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 656
- Legal business name
- NICOLE RUE, PSY.D., LLC
- Practice address
- 1115 Maple Way Ste D
Jackson, WY 83001-8567 - Phone
- (307) 690-2763
- NPI assigned
- Jul 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Rue, PSYD
- Title
- Psychologist
- Phone
- (307) 690-2763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 656 | WY | Primary |
Addresses
Primary practice location
1115 Maple Way Ste D
Jackson, WY 83001-8567
Mailing address
PO Box 11891
Jackson, WY 83002-1891
Phone (307) 690-2763
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Boulder, CO
- NPI 1417323981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531785600000",
"number": "1295211787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11891",
"city": "JACKSON",
"state": "WY",
"postal_code": "830021891",
"telephone_number": "307-690-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 MAPLE WAY STE D",
"city": "JACKSON",
"state": "WY",
"postal_code": "830018567",
"telephone_number": "307-690-2763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE RUE, PSY.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A",
"authorized_official_last_name": "RUE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "307-690-2763",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "WY",
"license": "656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.