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 provides Psychiatry Physician services 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

140 E Broadway Ave
Jackson, WY 83001-8632 Not confirmed with CMS for 12 years — call before visiting
Phone: (307) 201-1254
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Jackson