Blum Integrative Psychotherapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUM INTEGRATIVE PSYCHOTHERAPY, LLC

Practice address

90 Orcutt Dr
Pinedale, WY 82941-5308

Phone

(307) 360-6236

NPI assigned

Apr 27, 2023

Last updated

May 5, 2023By 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. Crystal Thompson

Title

Billing Manager/RCM

Phone

(307) 231-5472

Specialties & licenses 1

Addresses

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.

• Dayle Kimberly Read, LCSW, LICSW, LIMHP

  • Clinical Social Worker
  • Pinedale, WY
  • NPI 1568634558
  NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1548958580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ORCUTT DR",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829415308",
            "telephone_number": "307-360-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ORCUTT DR",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829415308",
            "telephone_number": "307-360-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM INTEGRATIVE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "BILLING MANAGER/RCM",
        "authorized_official_telephone_number": "307-231-5472",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apogee Medical Group Wyoming PC
• Alison Applin
• Katie Barngrover
• Cassandra D Bennett, OTR/L
• Julia Haskell Bloom, DNP FNP
• Earl Brown Jr., BS,MPA
• Stephanie Megan Bruce, P.T.
• Emily Burstad, OTD
• Clear Creek Vision Care, P.C.
• County of Sublette (Sublette County Public Health)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pinedale, WY
• Providers in Pinedale, WY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.