Organization Active NPI

Wyoming Psychiatry, LLC

  • Psychiatry Physician
  • Casper, WY
National Provider Identifier
1861935165
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9017A Issued in WY
Legal business name
WYOMING PSYCHIATRY, LLC
Practice address
301 S Fenway St
Suite 201
Casper, WY 82601-3051
Phone
(307) 215-9870
Fax
(307) 333-0389
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
David Martorano, M.D.
Title
Psychiatry
Phone
(307) 215-9870

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LA0401X 9017A WY
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 9017A WY Primary
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X 9017A WY
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X 9017A WY

Addresses

Primary practice location

301 S Fenway St
Suite 201
Casper, WY 82601-3051

Mailing address

301 S Fenway St Ste 201
Casper, WY 82601-3053
Phone (307) 215-9870

National Provider Directory

National Provider Directory

Locations

301 S Fenway St
Ste 201
Casper, WY 82601
Phone (307) 215-9870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1861935165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FENWAY ST STE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013053",
            "telephone_number": "307-215-9870",
            "fax_number": "307-333-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FENWAY ST",
            "address_2": "SUITE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013051",
            "telephone_number": "307-215-9870",
            "fax_number": "307-333-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MARTORANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHIATRY",
        "authorized_official_telephone_number": "307-215-9870",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "WY",
            "license": "9017A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "9017A",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WY",
            "license": "9017A",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WY",
            "license": "9017A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.