MARY JO JEFFRES PHD, LLC
NPI 1962563361
Psychologist - Clinical in Riverton, WY

Q: What is Mary Jo Jeffres Phd, LLC's NPI number?

The NPI number for Mary Jo Jeffres Phd, LLC is 1962563361. It was assigned to this organization in the NPPES registry on December 12, 2006.

Q: What is Mary Jo Jeffres Phd, LLC's specialty?

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

Active since December 12, 2006

103 N 5TH ST E, RIVERTON, WY 82501(307) 463-0890(307) 463-0891 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 16, 2017 (3 updates tracked since 2017).

On this page

About Mary Jo Jeffres Phd, Llc NPPES

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

MARY JO JEFFRES PHD, LLC (NPI 1962563361) is a healthcare organization registered as a clinical in Riverton, Wyoming and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Riverton and lists Mary Jo Jeffres, Owner, as its authorized official.

NPPES Registry Identity

NPI1962563361

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMARY JO JEFFRES PHD, LLC

Location Address103 N 5TH ST ERiverton, WY 82501-4402

Mailing Address103 N 5th St ERiverton, WY 82501-4402 · (307) 463-0890 · Fax (307) 463-0891

Phone(307) 463-0890

Fax(307) 463-0891

Organization SubpartNo

Authorized OfficialMary Jo JeffresOwner · (307) 463-0890

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1962563361 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 · 421

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.

103 N 5TH ST E, Riverton, WY 82501

Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 E. Fremont AvenueRiverton, WY 82501-4409 · Phone (307) 851-7170 · Fax (866) 956-5856

Other Identifiers 1

Medicaid121869700WY

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOMETOWN FREEDOM HEALTHCARE, LLC

Family Medicine

103 N 5TH ST E
RIVERTON, WY 82501

Fremont County (307) 463-0541

SILVER SAGE PSYCHIATRY

Nurse Practitioner (Psychiatric/Mental Health)

103 N 5TH ST E
RIVERTON, WY 82501

Fremont County (307) 288-2328

MARY JO JEFFRES PH.D.

Psychologist (Clinical)

103 N 5TH ST E
RIVERTON, WY 82501

Fremont County (307) 463-0890

MS. SUSAN DIANNE JOHNSON LCSW

Social Worker (Clinical)

103 N 5TH ST E
RIVERTON, WY 82501

Fremont County (307) 463-0890

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 Mary Jo Jeffres Phd, LLC's NPI number?

The NPI number for Mary Jo Jeffres Phd, LLC is 1962563361. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Mary Jo Jeffres Phd, LLC located?

Mary Jo Jeffres Phd, LLC is located at 103 N 5th St E, Riverton, WY 82501. The listed phone number is (307) 463-0890.

What is Mary Jo Jeffres Phd, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Jo Jeffres Phd, 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.