Psychiatric Mental Health Solutions

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Evansville, WY

NPI 1629939616 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1629939616
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
PSYCHIATRIC MENTAL HEALTH SOLUTIONS
Practice address
104 Coal Shadow Rd
Evansville, WY 82636-9550
Phone
(307) 251-9392
Fax
(307) 242-5615
NPI assigned
Nov 19, 2025
Organization subpart
No

Authorized official

Name
Karen Graves
Title
Owner/Provider
Phone
(601) 384-6535

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260120001992 WY Part B Supplier - Clinic/Group Practice 8628555869 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, WY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

104 Coal Shadow Rd
Evansville, WY 82636-9550

Mailing address

104 Coal Shadow Rd
Evansville, WY 82636-9550

Other providers in Evansville, WY

All providers in Evansville, WY · Psychiatric/Mental Health Nurse Practitioner in Wyoming

Sources for this page

Verify at the official NPI Registry.