Active NPI
Timothy Jack Wilcox, PHD
- Clinical Psychologist
- Fe Warren Afb, WY
National Provider Identifier
1639326218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008100
- Practice address
- Fe Warren Afb MHC
6900 Alden Drive
Fe Warren Afb, WY 82005-3913 - Phone
- (307) 773-2998
- Fax
- (307) 773-4721
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008100 | MI | Primary |
Addresses
Primary practice location
Fe Warren Afb MHC
6900 Alden Drive
Fe Warren Afb, WY 82005-3913
Mailing address
1979 Cheshire Dr
Cheyenne, WY 82001-1675
Phone (208) 590-3540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008100 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1639326218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 CHESHIRE DR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011675",
"telephone_number": "208-590-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FE WARREN AFB MHC",
"address_2": "6900 ALDEN DRIVE",
"city": "FE WARREN AFB",
"state": "WY",
"postal_code": "820053913",
"telephone_number": "307-773-2998",
"fax_number": "307-773-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "TIMOTHY",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fe Warren Afb, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.