| Park Ridge Behavioral Healthcare, Llc | |
|
6500 E 2nd St, Ste 200 Casper WY 82609 | |
| (307) 462-4876 | |
| Not Available |
| Full Name | Park Ridge Behavioral Healthcare, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6500 E 2nd St, Ste 200, Casper, Wyoming |
| Authorized Official Name and Position | Brandon Wardell (PRESIDENT) |
| Authorized Official Contact | 4054125468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Ridge Behavioral Healthcare, Llc 301 Thelma Dr Ste 226 Casper WY 82609 Ph: (405) 412-5468 | Park Ridge Behavioral Healthcare, Llc 6500 E 2nd St, Ste 200 Casper WY 82609 Ph: (307) 462-4876 |
| NPI Number | 1851624662 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Medicare PECOS PAC ID | 6800281254 |
|---|---|
| Medicare Enrollment ID | O20220321002770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851624662 | NPI | - | NPPES |
| 1598803413 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 299 (Wyoming) | Primary |
| Provider Name | Judith L Naginey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134333651 PECOS PAC ID: 1254394307 Enrollment ID: I20041109000937 |
| Provider Name | Melissa Leeann Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952536120 PECOS PAC ID: 3779732672 Enrollment ID: I20121010000123 |
| Provider Name | Jason S Tyser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285153189 PECOS PAC ID: 8628334760 Enrollment ID: I20171107000568 |
| Provider Name | Rachel Evelyn Yauney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932671179 PECOS PAC ID: 3173939576 Enrollment ID: I20210310000562 |
| Provider Name | Stefanie R Griglak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982074886 PECOS PAC ID: 3870970361 Enrollment ID: I20220523002268 |
Brain Injury Association Of Wyoming Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Big Horn Rd, Casper, WY 82601 Phone: 307-473-1767 | |
Remember Who You Are Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 141 S Center St Ste 304, Casper, WY 82601 Phone: 304-262-8572 | |
Aspen Creek Counseling Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Werner Ct, Suite 235, Casper, WY 82601 Phone: 307-233-4210 Fax: 307-233-4213 | |
Abby Bowen-rodda Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St, Ste 107, Casper, WY 82601 Phone: 307-577-4247 Fax: 307-577-4249 | |
Living Well Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 S Wisconsin Ave., Casper, WY 82609 Phone: 307-472-5433 Fax: 307-337-3705 | |
Self Help Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 S Center St, Suite 300, Casper, WY 82601 Phone: 307-235-2814 | |
Emotional Wellness Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6548 Boot Hill Rd, Casper, WY 82604 Phone: 307-267-1681 |