Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGICAL SERVICES

Practice address

1300 Coburn Ave
Worland, WY 82401-3514

Phone

(307) 347-8411

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bayuk, EDD

Title

Psychologist

Phone

(307) 347-8411

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1588960108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013514",
            "telephone_number": "307-347-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013514",
            "telephone_number": "307-347-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BAYUK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "307-347-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Pharaoh
• Jeffery D Pharaoh, MDIV MSW RMHC
• Karen Pharaoh
• Philip Tallman MD PC
• James Michael Poore, PHYSICAL THERAPIST
• Sarah Elizabeth Radabaugh, D.C.
• James G Randolph, MD
• Krystal Rose Re
• Red Rock Family Practice, Inc
• Red Rock Family Practice, Inc

• Clinical Psychologist in Worland, WY
• Providers in Worland, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.