Provider Demographics
NPI:1639186778
Name:REGIONAL PSYCHIATRY PC
Entity Type:Organization
Organization Name:REGIONAL PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:GALLAGHER
Authorized Official - Last Name:LAPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-630-6464
Mailing Address - Street 1:1641 MORNINGSTAR RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-8562
Mailing Address - Country:US
Mailing Address - Phone:307-630-6464
Mailing Address - Fax:307-778-8229
Practice Address - Street 1:1641 MORNINGSTAR RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-8562
Practice Address - Country:US
Practice Address - Phone:307-630-6464
Practice Address - Fax:307-778-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6827A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
714596Medicare UPIN
W10048Medicare ID - Type Unspecified