NPIMap

Organization Active NPI

Carol J. Erickson, PSYD., P.C.

  • Psychologist
  • Cheyenne, WY
National Provider Identifier
1912937749
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
303 Issued in WY
Legal business name
CAROL J. ERICKSON, PSYD., P.C.
Practice address
620 W 19TH St
Ste 6
Cheyenne, WY 82001-4307
Phone
(307) 637-5808
Fax
(307) 432-6775
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Carol J Erickson, PSY.D.NPI 1255537296
Title
Licensed Psychologist
Phone
(307) 637-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 303 WY Primary

Addresses

Primary practice location

620 W 19TH St
Ste 6
Cheyenne, WY 82001-4307

Mailing address

620 W 19TH St
Ste 6
Cheyenne, WY 82001-4307
Phone (307) 637-5808

Other identifiers 1

IdentifierTypeStateIssuer
310907OtherBC/BS

Other names 1

  • CE Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

620 W 19th St
Ste 6
Cheyenne, WY 82001
Phone (307) 637-5808

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1912937749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 19TH ST",
            "address_2": "STE 6",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014307",
            "telephone_number": "307-637-5808",
            "fax_number": "307-432-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 19TH ST",
            "address_2": "STE 6",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014307",
            "telephone_number": "307-637-5808",
            "fax_number": "307-432-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL J. ERICKSON, PSYD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "307-637-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WY",
            "license": "303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "310907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CE Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2007; 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.