Kintsugi Psychiatry, LLC
NPI 1306406509 · Psychiatric/Mental Health Nurse Practitioner · Casper, WY
Provider details
- NPI number
- 1306406509
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Katie Madetzke, Practice Manager(307) 333-5757
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1300 E a St Ste 201Casper, WY 82601-2252Phone: (307) 235-3333Fax: (307) 266-5155
- 770 W Collins Dr Ste 200Casper, WY 82601-2300Phone: (307) 333-5757Fax: (307) 215-7879
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2022-06-17
- Certified
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.