Windy Ridge Psychological Services, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

274 PSYCHOLOGY Issued in WY

Legal business name

WINDY RIDGE PSYCHOLOGICAL SERVICES, PC

Practice address

1607 Cy Ave
Suite 302
Casper, WY 82604

Phone

(307) 234-0500

Fax

(307) 234-0500

NPI assigned

Nov 1, 2006

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Ann Godley, PHDNPI 1184802175

Title

President

Phone

(307) 234-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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.

• Cheryl A Godley, PH. D.

  • Counseling Psychologist
  • Casper, WY
  • NPI 1184802175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1407933328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 CY AVE",
            "address_2": "SUITE 302",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-234-0500",
            "fax_number": "307-234-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CY AVE",
            "address_2": "SUITE 302",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-234-0500",
            "fax_number": "307-234-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY RIDGE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "GODLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-234-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WY",
            "license": "274 PSYCHOLOGY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111778501",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carla Jean Winemiller, MSW, LCSW
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• Tia M Winslow
• Kelly K. Winters, MS, CRC, OTR/L
• Sarah Melody Wiser, MSW, LCSW

• Psychologist in Casper, WY
• Providers in Casper, WY by specialty
• Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.