Robert J Bayuk, EDD PSYCHOLOGIST – Psychologist

Key facts

NPI: 1538136304
Entity type: Individual (NPI type 1)
Primary specialty: Psychologist 103T00000X
License: 139 (WY)
Practice address: 1300 Coburn Av
Worland, WY 82401-3514
Phone: (307) 347-8411
Fax: (307) 347-8411
NPI assigned: Mar 1, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Cloud Peak Foundation Voluntary or Charitable Agency · Worland, WY · NPI 1831399872

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
139	WY	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Cloud Peak Foundation		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist	103T00000X	139	WY	Yes

Addresses

Primary practice location

1300 Coburn Av
Worland, WY 82401-3514

Mailing address

PO Box 251
Worland, WY 82401-3514
Phone (307) 347-8411

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 8, 2010.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1538136304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013514",
            "telephone_number": "307-347-8411",
            "fax_number": "307-347-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COBURN AV",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013514",
            "telephone_number": "307-347-8411",
            "fax_number": "307-347-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYUK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "EDD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

All providers in Worland, WY · Psychologist in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.