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

Medical Psychotherapy PC

Organization Psychiatry Physician · NPI 1417904095

Medical Psychotherapy PC is a Psychiatry Physician in Jackson, Wyoming. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 E Broadway Ave
Jackson, WY 83001-8632
Phone: (307) 201-1254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-8621 (ID)

Record details

NPI number1417904095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Girling — Owner/ Physician · (307) 201-1254
NPI enumeratedMay 28, 2006
Last updated in NPPESApril 7, 2014
Mailing addressPo Box 589, Jackson, WY 83001-0589

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