NPIMap

Organization Active NPI

Peaceful Families PC

  • Clinical Child & Adolescent Psychologist
  • Cheyenne, WY
National Provider Identifier
1932424488
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
267 Issued in WY
Legal business name
PEACEFUL FAMILIES PC
Practice address
507 E 18TH St
Cheyenne, WY 82001-4617
Phone
(307) 637-7906
Fax
(307) 635-3965
NPI assigned
Mar 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Mary Ellen Sternitzke, PHD
Title
Psychologist/Owner
Phone
(307) 637-7906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 267 WY Primary

Addresses

Primary practice location

507 E 18TH St
Cheyenne, WY 82001-4617

Mailing address

507 E 18TH St
Cheyenne, WY 82001-4617
Phone (307) 637-7906

National Provider Directory

National Provider Directory
Tax ID family
Peaceful Families PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

507 E 18th St
Cheyenne, WY 82001
Phone (307) 365-0285

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1932424488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014617",
            "telephone_number": "307-637-7906",
            "fax_number": "307-635-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014617",
            "telephone_number": "307-637-7906",
            "fax_number": "307-635-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL FAMILIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "STERNITZKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "307-637-7906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WY",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2010; 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.