DR. CAROLYN J. WYATT (NPI# 1437139607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437139607 |
Entity Type | Individual |
Full Name | DR. CAROLYN J. WYATT |
Credential | PH.D. |
Practice Address |
814 S Washington St Moscow ID 83843-3049 |
Mailing Address |
280 Hayward Rd Pullman WA 99163-8949 |
Practice Telephone | 2088830619 |
Practice Fax Number | 2088824774 |
Mailing Telephone | 5093326417 |
Mailing Fax Number | 5093326417 |
Enumeration Date | 2006-01-22 |
Last Update Date | 2011-10-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC1900X |
Psychologist Specialization: Counseling |
#1017 | WA | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY-188 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | REGENCE BLUE SHIELD | 000010015935 | 01 |
ID | PREMERA BLUE CROSS | 145779137335 | 01 |
ID | BLUE CROSS OF IDAHO | 8D236 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316999840 | Carolyn Wyatt | Family Medicine | 8808 Centre Park Dr, Suite 206, Columbia, MD 21045-2126 | 2006-05-16 |
1558809525 | Carolyn Wyatt | Behavioral Analyst | 1706 E Broad St, Columbus, OH 43203 | 2017-02-09 |
1659699569 | Carolyn Marie Wyatt | Nurse Practitioner | 333 Laws Ave, Ukiah, CA 95482-6540 | 2010-05-17 |
1104095223 | Carolyn A Wyatt | Audiologist | 8218 Wisconsin Ave, Suite 106, Bethesda, MD 20814-3107 | 2008-02-22 |
Street Address |
814 S WASHINGTON ST |
City | MOSCOW |
State | ID |
Zip Code | 83843-3049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881699536 | Beth Waddel | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2005-06-18 |
1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
1164543666 | Kathy Lynn Kwiatkowski | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-04-02 |
1376688895 | Karen Alice Knoff | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-02-21 |
1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
1396762043 | Diana L Pals | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2006-07-17 |
1336106830 | Dianne Ladon Phillips-miller | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-04-27 |
1902808736 | Dave Potter | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2005-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
Find all providers in zip 83843 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
1073748950 | Nancy Sasse Sasser | Psychologist | 1060 Showalter Rd, Moscow, ID 83843-9199 | 2009-05-21 |
1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
1336106830 | Dianne Ladon Phillips-miller | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538583869 | Meier Clinics of California | Psychologist | 360 East Avenue, Suite 200, Ketchum, ID 83340 | 2014-02-06 |
1841542982 | Jeffrey Lee Elder II | Psychologist | 2335 Robison Dr, Rexburg, ID 83440-3310 | 2012-10-14 |
1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
1578732293 | Melissa A Boley | Psychologist | 333 South Main St Ste 104, Ketchum, ID 83340 | 2008-02-27 |
1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
1184741282 | Gregory W. Mondin | Psychologist | 220 W State St, Boise, ID 83702-6052 | 2007-03-23 |
1528105624 | Laura Mckee Psy D L L C | Psychologist | 158 North 1st East Street, Driggs, ID 83422 | 2007-01-30 |
1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
1942368253 | Carl D. Haugen | Psychologist | 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 | 2006-12-05 |
1124191895 | Laura Mckee | Psychologist | 158 North First East Street, Driggs, ID 83422 | 2006-11-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. CAROLYN J. WYATT.
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.