Active NPI
Eric Siiteri PHD LLC
- Clinical Psychologist
- Casper, WY
National Provider Identifier
1932178696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ERIC SIITERI PHD LLC
- Practice address
- 111 S Jefferson St
Casper, WY 82601-2665 - Phone
- (970) 495-0707
- Fax
- (970) 495-6885
- NPI assigned
- Mar 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chris L Siiteri
- Title
- Business Manager
- Phone
- (970) 495-0707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
111 S Jefferson St
Casper, WY 82601-2665
Mailing address
PO Box 955
Fort Collins, CO 80522-0955
Phone (970) 495-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118233101 | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
111 S Jefferson St
Casper, WY 82601
Phone (970) 495-0707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1932178696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805220955",
"telephone_number": "970-495-0707",
"fax_number": "970-495-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S JEFFERSON ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012665",
"telephone_number": "970-495-0707",
"fax_number": "970-495-6885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC SIITERI PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "SIITERI",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "970-495-0707",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118233101",
"state": "WY"
}
],
"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 Apr 19, 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.