Unknown Individual – Psychologist, NPI 1811099302

Psychologist

Unknown Individual is a healthcare provider. based in Cheyenne, Wyoming. specializing in Psychologist. They hold a License No. WY 135 (WY). The NPI Number for Unknown Individual is 1811099302

Main info

Organization

Inactive

46 Years Of Experience

Name

Unknown Individual

NPI

1811099302

Phone

(307) 634-1480

Address

2321 DUNN AVE

Deactivation Date

19 May 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3076341480

Graduation Year

1980 (46 years ago)

PAC ID

5597731778

Group Practice PAC ID

6709852973

Professional Enrollment ID

I20040909000241

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

2321, Dunn Avenue, Cheyenne, Laramie County, Wyoming, 82001, United States
CHEYENNE, WY 820013214
Phone: (307) 634-1480
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 82001)

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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: 6709852973View full group profile

Name	Specialty	State
THOMAS BOUGSTY (PH.D.)	-	WY

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1811099302.

Does inactive mean outdated data for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Psychologist. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Cheyenne, Wyoming. Check all listed addresses for suites or satellite offices.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.