Meadows Outpatient Center Wyoming LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MEADOWS OUTPATIENT CENTER WYOMING LLC

Practice address

1712 Pioneer Ave
Cheyenne, WY 82001-4406

Phone

(928) 684-4083

NPI assigned

Mar 17, 2022

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Livingston

Title

VP of Revenue Cycle

Phone

(602) 256-3020

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1699423616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241694",
            "telephone_number": "602-256-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406",
            "telephone_number": "928-684-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS OUTPATIENT CENTER WYOMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "602-256-3020"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Michael McPeak, MD
• Scott Victor McRae, MD
• Lauren Margaret McVeigh, MD
• Rollin Cary Mead, DDS
• Meade O Davis III MD PC (Davis Orthopedic Clinic)
• Meals on Wheels of Cheyenne Inc.
• Michael J Means, MD
• Molly E Means, PA
• Ageselaos John Meares, MD
• Med Equip Partners LLC

• Adult Mental Health Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Adult Mental Health Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.