NPIMap

Organization Active NPI

Memorial Hospital of Laramie County

  • Psychiatry Physician
  • Cheyenne, WY
National Provider Identifier
1689333585
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Practice address
2600 E 18TH St
Cheyenne, WY 82001-5511
Phone
(307) 633-7382
Fax
(307) 633-7202
NPI assigned
Dec 8, 2021
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Brad Wayne White
Title
Administrator of Revenue
Phone
(307) 633-6198

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2600 E 18TH St
Cheyenne, WY 82001-5511

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 633-7382

Other names 1

  • Cheyenne Regional Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
United Med Ctr Psych20 organizations share this tax ID, including this one
Part of
United Med Ctr Psych

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1689333585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-633-7382",
            "fax_number": "307-633-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015511",
            "telephone_number": "307-633-7382",
            "fax_number": "307-633-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR OF REVENUE",
        "authorized_official_telephone_number": "307-633-6198"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Regional Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.