DR. VIVIAN GAY DEITRICH-MACLEAN PH.D. NPI 1003030511

Psychologist (Clinical) in Laramie, WY

NPI 1003030511 Individual Female Years of Experience 32 Psychologist Clinical PECOS Enrolled May Accept Medicare Approved Payment

About VIVIAN DEITRICH-MACLEAN

Vivian Deitrich-maclean is a provider established in Laramie, Wyoming and her medical specialization is psychologist (clinical) with more than 32 years of experience. The NPI number of Vivian Deitrich-maclean is 1003030511 and was assigned on April 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 291 (WY). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A clinical psychologist like Dr. Vivian Gay Deitrich-maclean Ph.d. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Vivian Deitrich-maclean is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)

Vivian Deitrich-maclean is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

NPI

1003030511

Provider NameDR. VIVIAN GAY DEITRICH-MACLEAN PH.D.
Provider Location Address507 S 4TH ST SUITE B LARAMIE, WY 82070
Provider Mailing Address507 S 4TH ST SUITE B LARAMIE, WY 82070
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-13-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.291
License StateWY
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. VIVIAN GAY DEITRICH-MACLEAN PH.D.
507 S 4TH ST
SUITE B
LARAMIE, WY
ZIP 82070
Phone: (307) 755-1982
Fax: (307) 742-4089

Get Directions


Mailing Address

DR. VIVIAN GAY DEITRICH-MACLEAN PH.D.
507 S 4TH ST
SUITE B
LARAMIE, WY
ZIP 82070
Phone: (307) 755-1982



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103T00000XBehavioral Health & Social Service ProvidersPsychologist291WYN/A

Taxonomy Description: a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

2103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent291WYN/A

Taxonomy Description: a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

3103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily291WYN/A

Taxonomy Description: a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871652248DR. DOUGLAS JOHN SCAMBLER PH.D.
Individual
Psychologist (Clinical)507 S 4TH ST SUITE A
LARAMIE, WY 82070
(307) 460-0120
1174798375DR. CYNTHIA M HARTUNG PH.D.
Individual
Psychologist (Clinical Child & Adolescent)507 S 4TH ST SUITE A
LARAMIE, WY 82070
(307) 460-0119
1639328040ANNE C BUNN PHD LLC
Organization
Psychologist507 S 4TH ST SUITE B
LARAMIE, WY 82070
(307) 399-7499
1437277910 GILLIAN EMILY SIEGEL LCSW
Individual
Social Worker (Clinical)507 S 4TH ST
LARAMIE, WY 82070
(307) 399-4508
1255675815 TARA CLAPP M.S.
Individual
Psychologist (School)507 S 4TH ST
LARAMIE, WY 82070
(980) 322-6290
1609277227EMILY SIEGEL, LCSW PC
Organization
Social Worker (Clinical)507 S 4TH ST
LARAMIE, WY 82070
(307) 399-4508
1548656523KELLY PETRINO, PSYD
Organization
Psychologist (Counseling)507 S 4TH ST
LARAMIE, WY 82070
(307) 460-0781
1861824203 STEPHANIE JOYCE HANSON M.S., N.C.C., L.P.C.
Individual
Counselor (Mental Health)507 S 4TH ST
LARAMIE, WY 82070
(307) 760-4775
1871717306GAY DEITRICH-MACLEAN PC
Organization
Psychologist (Clinical)507 S 4TH ST SUITE B
LARAMIE, WY 82070
(307) 755-1982

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.