Primary Mental Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

18154.0972 Issued in WY

Legal business name

PRIMARY MENTAL HEALTH LLC

Practice address

1430 Wilkings Circle
Casper, WY 82601-1336

Phone

(307) 235-9583

Fax

(307) 265-7277

NPI assigned

Aug 12, 2009

Last updated

Apr 26, 2012By 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

Mrs. Robin Michelle Decastro, APRN-BC

Title

Owner

Phone

(307) 259-3467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1861624678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THELMA DR",
            "address_2": "PMB #464",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012325",
            "telephone_number": "307-259-3467",
            "fax_number": "307-266-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WILKINGS CIRCLE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011336",
            "telephone_number": "307-235-9583",
            "fax_number": "307-265-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-259-3467",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WY",
            "license": "18154.0972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Casper, WY
• Providers in Casper, 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 Apr 26, 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.