Dr. Michael Bjornson

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

465 Issued in WY

Legal business name

DR. MICHAEL BJORNSON

Practice address

3240 S Poplar St
Casper, WY 82601-5322

Phone

(307) 702-1234

NPI assigned

Oct 31, 2012

Last updated

Oct 31, 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

Dr. Michael Jonathan Bjornson, PH.D.

Title

Psychologist/Owner

Phone

(307) 702-1234

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1922352756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826015322",
            "telephone_number": "307-702-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826015322",
            "telephone_number": "307-702-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL BJORNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "BJORNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "307-702-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "WY",
            "license": "465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130340600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allysa Nicole Dorsey, FNP
• Kathlyn Doss, PT
• Sara Kathleen Dougherty
• Deray Tapley Dout, MA, LPC (WY LPC #789
• Mark Edward Dowell, M.D.
• Danielle Michelle Drake
• Kylie Dray, SLP
• Jessica Dresser, CLD(CBI)
• Drew Woodward, MD, PC
• Cheryl D. Drost, AUD.

• Health Psychologist in Casper, WY
• Providers in Casper, WY by specialty
• Health Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.