NPIMap

Organization Active NPI

Region V Board of Cooperative Educational Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Wilson, WY
National Provider Identifier
1831442201
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
OTR598 Issued in WY
Legal business name
REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES
Practice address
3850 North Wilderness Drive
Wilson, WY 83025
Phone
(307) 733-8210
Fax
(307) 733-8462
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Ms. Mayling H Sumicad, OTR/L
Title
Occupational Therapist
Phone
(307) 733-8210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X OTR598 WY Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X OTR598 WY

Addresses

Primary practice location

3850 North Wilderness Drive
Wilson, WY 83025

Mailing address

PO Box 240
Wilson, WY 83014-0240
Phone (307) 733-8210

Other names 1

  • C-V Ranch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C-V Ranch3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1831442201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830140240",
            "telephone_number": "307-733-8210",
            "fax_number": "307-733-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 NORTH WILDERNESS DRIVE",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "83025",
            "telephone_number": "307-733-8210",
            "fax_number": "307-733-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SUMICAD",
        "authorized_official_first_name": "MAYLING",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "307-733-8210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WY",
            "license": "OTR598",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WY",
            "license": "OTR598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C-V Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.