NPIMap

Organization Active NPI

Independent

  • Community/Behavioral Health Agency
  • Cheyenne, WY
National Provider Identifier
1629448790
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INDEPENDENT
Practice address
110 Montalto Dr Unit D
Cheyenne, WY 82007-6514
Phone
(307) 287-6110
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Aubri Monique VahaiNPI 1023479581
Title
Family Support Partner
Phone
(307) 287-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

110 Montalto Dr Unit D
Cheyenne, WY 82007-6514

Mailing address

110 Montalto Dr.Unit D
Cheyenne, WY 82007-6514
Phone (307) 287-6110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1629448790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MONTALTO DR.UNIT D",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820076514",
            "telephone_number": "307-287-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MONTALTO DR UNIT D",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820076514",
            "telephone_number": "307-287-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "VAHAI",
        "authorized_official_first_name": "AUBRI",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "FAMILY SUPPORT PARTNER",
        "authorized_official_telephone_number": "307-287-6110"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.