Active NPI
Mantracare Corporation
- Psychologist
- Sheridan, WY
National Provider Identifier
1417835588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MANTRACARE CORPORATION
- Practice address
- 30 N Gould St
Sheridan, WY 82801-6317 - Phone
- (332) 331-8626
- NPI assigned
- Aug 26, 2025
- 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
- Mr. Himanshu Jain
- Title
- Director
- Phone
- (332) 331-8626
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | Primary | ||
| Nutritionist | 133N00000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
30 N Gould St
Sheridan, WY 82801-6317
Mailing address
30 N Gould St # 40683
Sheridan, WY 82801-6317
Other names 1
- MantraCare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1417835588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N GOULD ST # 40683",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N GOULD ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317",
"telephone_number": "332-331-8626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANTRACARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "HIMANSHU",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "332-331-8626",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MantraCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.