Active NPI
Thomas Bougsty, PH.D.
- Psychologist
- Cheyenne, WY
National Provider Identifier
1801998398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- WY134
- Practice address
- 2321 Dunn Ave
Cheyenne, WY 82001-3214 - Phone
- (307) 634-1480
- NPI assigned
- Sep 4, 2006
- Last updated
- Jan 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | WY134 | WY | Primary |
Addresses
Primary practice location
2321 Dunn Ave
Cheyenne, WY 82001-3214
Mailing address
2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 634-1480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138818 | Other | WY | MHN |
| 178429 | Other | WY | VALUE OPTIONS |
| 313242 | Other | WY | BS OF WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WY134 | WY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358035200000",
"number": "1801998398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 DUNN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013214",
"telephone_number": "307-634-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 DUNN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013214",
"telephone_number": "307-634-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUGSTY",
"first_name": "THOMAS",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2013-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "WY134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "138818",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "178429",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF WY",
"identifier": "313242",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}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 Jan 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.