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

Caroljean Bongo, PSYD

Individual provider Psychologist · NPI 1134220189

Caroljean Bongo, PSYD is a Clinical Psychologist in Cheyenne, Wyoming. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
21
Licensed in
WY
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2909 Bent Ave
Cheyenne, WY 82001-2742
Phone: (307) 760-1871
Fax: (866) 621-1893
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 432 (WY)

Record details

NPI number1134220189
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 21270, Cheyenne, WY 82003-7025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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