Wyoming Trauma Treatment Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WYOMING TRAUMA TREATMENT CENTER

Practice address

800 Werner CT Ste 258
Casper, WY 82601-1324

Phone

(307) 259-8117

Fax

(605) 443-8880

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Mandi Jean Mosher, MSW, LCSWNPI 1871944868

Title

Owner

Phone

(307) 259-8117

Specialties & licenses 1

Addresses

Other names 1

• Wyoming Trauma Treatment Center Doing business as

Locations

Practitioners 2

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

• Mandi Mosher, MSW

  • Clinical Social Worker
  • Sturgis, SD
  • NPI 1871944868
  NPD Authorized official
• Kirsten Roberts-Osborne, LCSW

  • Clinical Social Worker
  • Casper, WY
  • NPI 1841841103
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1679199897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WERNER CT STE 258",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011324",
            "telephone_number": "307-259-8117",
            "fax_number": "605-443-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WERNER CT STE 258",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011324",
            "telephone_number": "307-259-8117",
            "fax_number": "605-443-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING TRAUMA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "MANDI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-259-8117",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Trauma Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wyoming Retina Associates, PC
• Wyoming Sleep Diagnostics, Inc.
• Wyoming Surgical Associates PC
• Wyoming Surgical Center LLC
• Wyoming Surgical Center MRI
• Wyoming Wound Care Center PC
• Demian Matthew Yakel, D.O.
• Shelby Yates, MSN, FNP-BC
• Samantha Yeager
• Tonya Lynn Yelton, M.A., L.P.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Casper, WY
• Providers in Casper, WY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.