NPIMap

Individual provider Active NPI

Patricia A.E. Verellen, M.A., M.D.

  • Psychiatry Physician
  • Evanston, WY
National Provider Identifier
1497800478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7545A Issued in WY
Practice address
831 State Highway 150 S
Evanston, WY 82930-5340
Phone
(307) 789-3464
Fax
(307) 789-7373
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7545A WY Primary

Addresses

Primary practice location

831 State Highway 150 S
Evanston, WY 82930-5340

Mailing address

PO Box 177
Evanston, WY 82931-0177
Phone (307) 789-3464

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
Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Compass Health Past Accepting new patients
Navos Past Accepting new patients
State of Wyoming PastSince Jan 28, 2024 Accepting new patients
Family Behavioral Resources, Inc. Psychiatry PastSince Oct 1, 2009 Accepting new patients
Cambria Cnty MH Mr Da Psychiatry Past Accepting new patients
Magic Valley Regional Medical Center Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497800478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829310177",
            "telephone_number": "307-789-3464",
            "fax_number": "307-789-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STATE HIGHWAY 150 S",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305340",
            "telephone_number": "307-789-3464",
            "fax_number": "307-789-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERELLEN",
        "first_name": "PATRICIA",
        "middle_name": "A.E.",
        "name_prefix": "Dr.",
        "credential": "M.A., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "7545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.