LANDER VALLEY PHYSICIAN PRACTICES LLC NPI 1215971510

NPI Information

  • NPI: 1215971510
  • Provider Name: LANDER VALLEY PHYSICIAN PRACTICES, LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 830 LINCOLN ST
    LANDER, WY
    ZIP 82520
  • Phone: (307) 332-9577

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NPI Details

LANDER VALLEY PHYSICIAN PRACTICES, LLC is a psychiatry psychiatry neurology in Lander, WY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LANDER VALLEY PHYSICIAN PRACTICES, LLC NPI is 1215971510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 LINCOLN ST
LANDER, WY
ZIP 82520-736
Phone: (307) 332-9577
Fax: (307) 332-3106

The provider's authorized official is Jess N Judy .
The authorized official title is President and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/2/2013.

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
1174400000XSpecialist6909AWYOMINGNo
2207R00000XInternal MedicineNo
3208M00000XHospitalistNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5363AM0700XPhysician AssistantMedicalNo
6363A00000XPhysician AssistantNo
71041C0700XSocial WorkerClinicalNo
82084P0800XPsychiatry & NeurologyPsychiatryYes

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 Other Provider Identifier Issuer
1119703700MEDICAIDWYOMING
29950MEDICARE PINWYOMING

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: 3/30/2025

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