Active NPI
Thomas Wykes Jr., PHD
- Psychologist
- Laramie, WY
National Provider Identifier
1407362874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 643
- Practice address
- 526 Regency Dr
Laramie, WY 82070-5106 - Phone
- (307) 222-4376
- NPI assigned
- Dec 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 643 | WY | Primary |
Addresses
Primary practice location
526 Regency Dr
Laramie, WY 82070-5106
Mailing address
2015 Central Ave
Ste F
Cheyenne, WY 82001-3754
Phone (480) 332-7146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1407362874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 CENTRAL AVE",
"address_2": "STE F",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013754",
"telephone_number": "480-332-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 REGENCY DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705106",
"telephone_number": "307-222-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYKES",
"first_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-21",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.