BIG HORN PSYCHOLOGICAL SERVICES LC (NPI# 1336473859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336473859 |
| Entity Type | Organization |
| Organization Name | BIG HORN PSYCHOLOGICAL SERVICES LC |
| Practice Address |
339 W Loucks St Sheridan WY 82801-4121 |
| Mailing Address |
Po Box 1035 Sheridan WY 82801-1035 |
| Practice Telephone | 3076751805 |
| Mailing Telephone | 3076751805 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | DR. ALICIA A CLARK (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 3076751805 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
339 W LOUCKS ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403822 | Jeffrey P. Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2005-11-02 |
| 1134216690 | Alicia Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063695419 | James William Wyssmann | Psychologist | 45 E Loucks, Suite 300b Old Post Office Building, Sheridan, WY 82801 | 2007-12-07 |
| 1689716227 | Rehabilitation Enterprises of Northeastern Wyoming | Psychologist | 1969 S Sheridan Ave, Sheridan, WY 82801-6108 | 2007-02-12 |
| 1780614677 | Victor Hyman Ashear | Psychologist | 1262 West 5th St., Sheridan, WY 82801 | 2006-07-04 |
| 1063403822 | Jeffrey P. Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2005-11-02 |
| 1972979938 | Jennifer Lea Cox Glass | Psychologist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2015-08-13 |
| 1962882233 | Inspire Psychological Center, LLC | Psychologist | 632 Coffeen Ave, Sheridan, NY 82801 | 2015-06-02 |
| 1508298555 | Piedmont Psychological Practice LLC | Psychologist | 425 W Loucks St, Sheridan, WY 82801-4128 | 2013-08-01 |
| 1760706907 | Amanda Turlington | Psychologist | 1221 W 5th St, Sheridan, WY 82801-2701 | 2010-03-17 |
| 1558527481 | Seth Michael Tippin | Psychologist | 1898 Fort Rd, Mh - 116, Sheridan, WY 82801-8320 | 2008-07-30 |
| 1134216690 | Alicia Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2006-10-06 |
| Find all providers in SHERIDAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.