CATHEDRAL HOME FOR CHILDREN NPI 1356588727

NPI Information

NPI: 1356588727
Provider Name: CATHEDRAL HOME FOR CHILDREN

Former Legal Business Name: CATHEDRAL HOME FOR CHILDREN

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
4989 N 3RD ST
LARAMIE, WY
ZIP 82072
Phone: (307) 745-8997
Get Directions

CATHEDRAL HOME FOR CHILDREN is a child and adolescent psychiatry psychiatry neurology in Laramie, WY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. CATHEDRAL HOME FOR CHILDREN NPI is 1356588727. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Cathedral Home For Children.

The provider's business location address is:

4989 N 3RD ST
LARAMIE, WY
ZIP 82072-548
Phone: (307) 745-8997

The provider's authorized official is Nicole Hauser .
The authorized official title is Executive Director and has the following contact phone number (307) 745-8997.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 3/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			No
2	103T00000X	Psychologist				No
3	103TC0700X	Psychologist	Clinical			No
4	103TC2200X	Psychologist	Clinical Child & Adolescent			No
5	103TF0000X	Psychologist	Family			No
6	106H00000X	Marriage & Family Therapist				No
7	174400000X	Specialist			WYOMING	No
8	2084P0800X	Psychiatry & Neurology	Psychiatry			No
9	251S00000X	Community/Behavioral Health				No
10	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
11	320800000X	Community Based Residential Treatment Facility, Mental Illness		118869104	WYOMING	No
12	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				No
13	323P00000X	Psychiatric Residential Treatment Facility				No
14	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	118869104	WYOMING	No
15	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	118869102	MEDICAID	WYOMING
2	118869104	MEDICAID	WYOMING
3	118869105	MEDICAID	WYOMING
4	118869101	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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