CAROLJEAN BONGO PSYD LLC
NPI 1821297102
Psychologist - Clinical in Cheyenne, WY

Q: What is Caroljean Bongo Psyd LLC's NPI number?

The NPI number for Caroljean Bongo Psyd LLC is 1821297102. It was assigned to this organization in the NPPES registry on July 16, 2007.

Q: What is Caroljean Bongo Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 16, 2007

2909 BENT AVE, CHEYENNE, WY 82001(307) 760-1871(866) 621-1893 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Caroljean Bongo Psyd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLJEAN BONGO PSYD LLC (NPI 1821297102) is a healthcare organization registered as a clinical in Cheyenne, Wyoming and active in the NPI registry since July 2007. The organization lists Caroljean Bongo, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1821297102

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCAROLJEAN BONGO PSYD LLC

Location Address2909 BENT AVECheyenne, WY 82001-2742

Mailing AddressPo Box 21270Cheyenne, WY 82003-7025 · (307) 760-1871 · Fax (866) 621-1893

Phone(307) 760-1871

Fax(866) 621-1893

Organization SubpartNo

Authorized OfficialCaroljean BongoClinical Psychologist · (307) 760-1871

Enumeration DateJuly 16, 2007

Last NPPES UpdateJuly 21, 2022

✔ NPI 1821297102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WY · 432

Definition

A 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.

2909 BENT AVE, Cheyenne, WY 82001

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Other Identifiers 1

Medicaid124350100WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroljean Bongo Psyd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Caroljean Bongo Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Caroljean Bongo, PSYD

Clinical Psychologist

NPI 1134220189

2909 BENT AVE
Cheyenne, WY 82001

(307) 760-1871

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroljean Bongo Psyd LLC's NPI number?

The NPI number for Caroljean Bongo Psyd LLC is 1821297102. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Caroljean Bongo Psyd LLC located?

Caroljean Bongo Psyd LLC is located at 2909 Bent Ave, Cheyenne, WY 82001. The listed phone number is (307) 760-1871.

What is Caroljean Bongo Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Caroljean Bongo Psyd LLC enrolled in Medicare?

Yes. Caroljean Bongo Psyd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Caroljean Bongo Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Caroljean Bongo Psyd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Caroljean Bongo Psyd LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Caroljean Bongo Psyd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroljean Bongo Psyd LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.