Organization Active NPI

Dynamic Reflections

  • Clinical Psychologist
  • Sheridan, WY
National Provider Identifier
1932993318
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DYNAMIC REFLECTIONS
Practice address
1949 Sugarland Dr Ste 200
Sheridan, WY 82801-5765
Phone
(661) 788-5354
NPI assigned
Apr 8, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. Kaitlyn Card, PSYDNPI 1043895550
Title
Ceo
Phone
(661) 788-5354

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Health Service Psychologist 103TH0100X NU
Group Psychotherapy Psychologist 103TP2701X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1949 Sugarland Dr Ste 200
Sheridan, WY 82801-5765

Mailing address

1949 Sugarland Dr Ste 200
Sheridan, WY 82801-5765
Phone (661) 788-5354

Other practice location 1

1047 Illinois St
Sheridan, WY 82801-5204
Phone (661) 788-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522001214 WY Part B Supplier - Clinic/Group Practice 8224557202 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1932993318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015765",
            "telephone_number": "661-788-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015765",
            "telephone_number": "661-788-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1047 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015204",
            "country_code": "US",
            "telephone_number": "661-788-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC REFLECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-788-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.