Medical Psychotherapy PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M-8621 Issued in ID

Legal business name

MEDICAL PSYCHOTHERAPY PC

Practice address

140 E Broadway Ave
Jackson, WY 83001-8632

Phone

(307) 201-1254

NPI assigned

May 28, 2006

Last updated

Apr 7, 2014By 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

Dr. Philip W Girling, M.D.NPI 1942257548

Title

Owner/ Physician

Phone

(307) 201-1254

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Philip William Girling, M.D.

  • Psychiatry Physician
  • Idaho Falls, ID
  • NPI 1942257548
  NPD (past) Authorized official
• Kristin Lee Wright

  • Family Nurse Practitioner
  • Jackson, WY
  • NPI 1255947008
  NPD (past)
• Tara Ashley Holley, FNP

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1013630797
  NPD (past)
• Richard A New, M.D.

  • Psychiatry Physician
  • Ammon, ID
  • NPI 1699718619
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1417904095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010589",
            "telephone_number": "307-201-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E BROADWAY AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018632",
            "telephone_number": "307-201-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "GIRLING",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "307-201-1254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-8621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian McGeogh
• Michael McGrath, MA
• Richard A McKay, MD
• Gregory James McKinney, CRNA
• Georgina H McNiff, RN
• Kevin J Meehan, LA.C, NCCAOM, NCCA
• Hannah Meier, DNP
• Babette Epple Melka, PHARMD
• Kimberly Ann Mellick, MSN, FNP-BC
• Camille Stephanie Mellijor-Figg, M.D.

• Psychiatry Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Psychiatry Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.