Snowy Range Consulting, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

199 Issued in WY

Legal business name

SNOWY RANGE CONSULTING, LLC

Practice address

526 Regency Dr
Laramie, WY 82070-5106

Phone

(307) 745-5414

Fax

(307) 745-5138

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joseph Watt, PHDNPI 1427184605

Title

Psychologist

Phone

(307) 745-5414

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Mark Joseph Watt, PH.D., J.D.

  • Psychologist
  • Laramie, WY
  • NPI 1427184605
  NPD (past) Authorized official
• Judith K. Olson, PH.D.

  • Clinical Psychologist
  • Laramie, WY
  • NPI 1841399383
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1922596196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 REGENCY DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705106",
            "telephone_number": "307-745-5414",
            "fax_number": "307-745-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 REGENCY DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705106",
            "telephone_number": "307-745-5414",
            "fax_number": "307-745-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWY RANGE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "307-745-5414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WY",
            "license": "199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115175",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiney Sneed
• Gary Richard Sneller II, PHYSICIAN ASSISTANT
• SNH Wy Tenant LLC
• Laurel Snider
• Adam Snow
• Snowy Range Health Center
• Snowy Range Kidney Care LLC
• Snowy Range Physical Therapy and Wellness, LLC
• Brooke Snyder
• Cristian Soles

• Psychologist in Laramie, WY
• Providers in Laramie, WY by specialty
• Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.