Joyce Surdam

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

136 Issued in WY

Practice address

1277 N 15TH St
Laramie, WY 82072-2343

Phone

(307) 742-6222

NPI assigned

Dec 15, 2009

Last updated

Jan 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Joyce Surdam Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• La Familia Counseling Services

  • Interpreter
  • Jackson, WY
  • NPI 1649837238
  NPD (past)
• Pendley & Associates Inc

  • Mental Health Counselor
  • Laramie, WY
  • NPI 1285730788
  NPD (past)
• Pendley and Associates, Inc

  • Professional Counselor
  • Laramie, WY
  • NPI 1750626123
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1336478643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E BROADWAY AVE STE B-13",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018632",
            "telephone_number": "307-690-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N 15TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722343",
            "telephone_number": "307-742-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDAM",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "SURDAM",
            "prefix": "DR.",
            "credential": "PH.D., PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Summit Pathology
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• Ajayi Sunday
• Susan McCabe Aprn BC Inc
• Hannah Sutkowski
• Jason Michael Svare
• Jacob Levi Montana Swan, PTA
• Shannon Michelle Sweeney, CD(DONA)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.