OrganizationActive
Medical Psychotherapy PC
NPI 1417904095 · Psychiatry Physician · Jackson, WY
Provider details
- NPI number
- 1417904095
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Girling, Owner/ Physician(307) 201-1254
- License
- M-8621 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
140 E Broadway Ave
Jackson, WY 83001-8632
Phone: (307) 201-1254
Street-level locationGet directions
Mailing address
Po Box 589
Jackson, WY 83001-0589
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2014-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.