NPIMap

Organization Active NPI

Cloud Peak Initiatives Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sheridan, WY
National Provider Identifier
1972889764
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
ML-2011-017 Issued in WY
Legal business name
CLOUD PEAK INITIATIVES INC.
Practice address
151 W Brundage St
Sheridan, WY 82801-4217
Phone
(307) 674-1668
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mr. Gary Melvin Small, MPANPI 1558653220
Title
Office Manager
Phone
(307) 674-1668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X ML-2011-017 WY Primary

Addresses

Primary practice location

151 W Brundage St
Sheridan, WY 82801-4217

Mailing address

151 W Brundage St
Sheridan, WY 82801-4217
Phone (307) 674-1668

Other identifiers 1

IdentifierTypeStateIssuer
1740318013OtherWYNPI #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1972889764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W BRUNDAGE ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014217",
            "telephone_number": "307-674-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W BRUNDAGE ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014217",
            "telephone_number": "307-674-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD PEAK INITIATIVES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-674-1668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WY",
            "license": "ML-2011-017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1740318013",
            "state": "WY"
        }
    ],
    "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 Oct 25, 2011; 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.