JAMES WILLIAM WYSSMANN (PHD) – Clinical Psychologist, NPI 1063695419

JAMES WILLIAM WYSSMANN (PHD) is a healthcare provider. based in Sheridan, Wyoming. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 403 (WY). The NPI Number for JAMES WILLIAM WYSSMANN (PHD) is 1063695419

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
JAMES WILLIAM WYSSMANN (PHD)
NPI
1063695419
Phone
(307) 752-0677
Address
45 E LOUCKS
Enumeration Date
7 December 2007
Last Update Date
8 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076748686
Graduation Year
2003 (23 years ago)
PAC ID
2961715776
Group Practice PAC ID
2860710472
Professional Enrollment ID
I20150723007041
Address ID
WY828015765SH1949XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

49 CLINICAL PSYCHOLOGIST in WY

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Provider Addresses for JAMES WILLIAM WYSSMANN (PHD)

  • 45, West Loucks Street, Sheridan, Sheridan County, Wyoming, 82801, United States

    SUITE 300B OLD POST OFFICE BUILDING

    SHERIDAN, WY 82801

    Phone: (307) 752-0677

    Type: Location

  • 1949 SUGARLAND DR STE 218

    SHERIDAN, WY 828015765

    Phone: (307) 752-0677

    Fax: (307) 674-1825

    Type: Location

  • PO BOX 6692

    SHERIDAN, WY 82801

    Phone: (307) 752-0677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150723007041IPsychologist Billing IndependentlyWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860710472View full group profile
NameSpecialtyState
Clinical Social WorkerWY

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Frequently asked questions

How do I look up JAMES WILLIAM WYSSMANN (PHD) by NPI?
Use NPI 1063695419 when you need to reference JAMES WILLIAM WYSSMANN (PHD) in forms, claims, or directories.
Is JAMES WILLIAM WYSSMANN (PHD)'s NPI currently valid?
The extract we use shows JAMES WILLIAM WYSSMANN (PHD) as active.
Does JAMES WILLIAM WYSSMANN (PHD) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for JAMES WILLIAM WYSSMANN (PHD). Clinical services aligned with this taxonomy classification.
Where does public data place JAMES WILLIAM WYSSMANN (PHD)?
The snapshot lists Sheridan, Wyoming for JAMES WILLIAM WYSSMANN (PHD); download NPPES for the complete set.
Is JAMES WILLIAM WYSSMANN (PHD) a real provider?
This page reflects official NPPES data for NPI 1063695419. Always confirm identity and privileges with the practice and licensing boards.

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