Abintra Psychological Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

#268 Issued in WY

Legal business name

ABINTRA PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

135 Pine St Ste B
Buffalo, WY 82834-2332

Phone

(307) 684-5828

Fax

(307) 684-5803

NPI assigned

Dec 2, 2008

Last updated

Dec 2, 2008By 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

Dr. Theresa A Faulkner, PH.D.NPI 1104807593

Title

Owner

Phone

(307) 684-5828

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Anne Faulkner, PH.D.

  • Clinical Psychologist
  • Buffalo, WY
  • NPI 1104807593
  Authorized official Same address or phone
• Lorraine May Steppe, LCSW

  • Clinical Social Worker
  • Buffalo, WY
  • NPI 1114352945
  NPD
• Kim Knox Faulkner, PH.D.

  • Counseling Psychologist
  • Buffalo, WY
  • NPI 1215928965
  NPD (past)
• Jessica Lynn Cardwell, PSY.D.

  • Clinical Psychologist
  • Manassas, VA
  • NPI 1174778740
  NPD (past)

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1710122908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINE ST STE B",
            "address_2": "PO BOX 1222",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828342332",
            "telephone_number": "307-684-5828",
            "fax_number": "307-684-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PINE ST STE B",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828342332",
            "telephone_number": "307-684-5828",
            "fax_number": "307-684-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINTRA PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-684-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "#268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Collin G Beecher, MS, NCC, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.