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MR. MAC PATRIK REYNOLDS BS. PSYCHOLOGY NPI 1013524628


NPI Information

NPI: 1013524628
Provider Name: MR. MAC PATRIK REYNOLDS, BS. PSYCHOLOGY
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Individual
Address:
620 W PROSSER RD LOT H
CHEYENNE, WY
ZIP 82007
Phone: (307) 274-6567
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MR. Mac Patrik Reynolds, BS. PSYCHOLOGY is a day training developmentally disabled services in Cheyenne, WY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MR. Mac Patrik Reynolds, BS. PSYCHOLOGY NPI is 1013524628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 W PROSSER RD LOT H
CHEYENNE, WY
ZIP 82007-054
Phone: (307) 274-6567

The enumeration date for this NPI number is 9/28/2020 and was last updated on 10/13/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesWYOMINGYes
2372600000XAdult CompanionNo
3373H00000XDay Training/Habilitation SpecialistNo
4253Z00000XIn Home Supportive CareWYOMINGNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.