Individual provider Active NPI

Grant Robert Fleming, PHD

  • Psychologist
  • Cheyenne, WY
National Provider Identifier
1679633788
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
310 Issued in WY
Practice address
1401 Airport Pkwy Ste 200
Cheyenne, WY 82001-1526
Phone
(307) 634-6883
Fax
(307) 634-9462
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 310 WY Primary

Addresses

Primary practice location

1401 Airport Pkwy Ste 200
Cheyenne, WY 82001-1526

Mailing address

1401 Airport Pkwy Ste 200
Cheyenne, WY 82001-1526
Phone (307) 634-6883

Other identifiers 1

IdentifierTypeStateIssuer
115891100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000100 WY Practitioner - Clinical Psychologist 1052583903 Practice locations: Cheyenne, WY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Airport Pkwy
Suite 200
Cheyenne, WY 82001-1518

1401 Airport Pkwy
Suite 200
Cheyenne, WY 82001-1526
Phone 3076346883102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
310WYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1679633788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AIRPORT PKWY STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011526",
            "telephone_number": "307-634-6883",
            "fax_number": "307-634-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AIRPORT PKWY STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011526",
            "telephone_number": "307-634-6883",
            "fax_number": "307-634-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "GRANT",
        "middle_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115891100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.