Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kintsugi Psychiatry, LLC

Organization Adult Mental Health Clinic/Center · NPI 1306406509

Kintsugi Psychiatry, LLC is an Adult Mental Health Clinic/Center in Casper, Wyoming. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

145 S Durbin St Ste 108
Casper, WY 82601-2566
Phone: (307) 333-5757
Fax: (307) 439-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1306406509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teecee Hailey-Fulfer — Owner · (307) 333-5757
NPI enumeratedJune 19, 2019
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address145 S Durbin St Ste 108, Casper, WY 82601-2566

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