Unaccompanied Student Initiative

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

UNACCOMPANIED STUDENT INITIATIVE

Practice address

910 W Fox Farm Rd
Cheyenne, WY 82007-2674

Phone

(307) 220-2391

NPI assigned

Jan 28, 2020

Organization subpart

No

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

Authorized official

Name

Tamara Moore

Title

Executive Director

Phone

(307) 220-2391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1639700750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22103",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820032030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W FOX FARM RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072674",
            "telephone_number": "307-220-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNACCOMPANIED STUDENT INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-220-2391"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Tyler
• Kristy Tyrney
• Colleen R Tyson, FNP
• Lexi Tyson, RD, LD
• Madison Ivy Udy, PT, DPT
• Union Pacific Emergency Physicians LLC
• Sharon Unislawski, RBT
• University of Wyoming
• University of Wyoming
• Uplift

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.