Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134220189 Individual Practitioner Female Practitioner

Dr. Caroljean Bongo , PsyD

Psychologist • Cheyenne, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Caroljean Bongo, PsyD is a certified Psychologist practicing in Cheyenne, WY. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Bongo delivers high-quality medical care to the local community at 2909 BENT AVE.

Dr. Bongo accepts Medicare assignment.

Frequently performed procedures and clinical services include administration of psychological or neuropsychological test, evaluation of psychological test, evaluation of psychological test, first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2909 Bent Ave

Cheyenne, WY 820012742

Telephone 3077601871
Fax 8666211893
Associated Practice Facility / Clinic
🏢 Caroljean Bongo Psyd Llc Facility NPI 1821297102

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cheyenne, WY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -6.3 yrs vs City Avg
City Avg: 27.3 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Cheyenne, WY (57 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bongo (21 Years) 21 Yrs
Cheyenne Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96137 Administration of psychological or neuropsychological test, each additional 30 minutes
77 13 $60.00 $38.08
96131 Evaluation of psychological test, each additional hour
60 13 $155.00 $87.85
96130 Evaluation of psychological test, first hour
15 13 $160.00 $118.97
96136 Administration of psychological or neuropsychological test, first 30 minutes
15 13 $65.00 $43.00
90791 Psychiatric diagnostic evaluation
12 12 $190.00 $174.66

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WY 432

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
124350100 (WY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Gregory Stelzner , MSW, LCSW-950

Social Worker - Clinical

NPI 1003179649

Master of Social Work, LCSW950

Charles Skinner , MA, LPC

Counselor - Professional

NPI 1104063338

Master of Arts, Licensed Professional Counselor

Anna Russell , LCSW

Social Worker - Clinical

NPI 1326177841

Licensed Clinical Social Worker

Randall Beaubouef , MSW

Social Worker - Clinical

NPI 1356647291

Master of Social Work

Jamie Rogers , LCSW

Social Worker - Clinical

NPI 1871721779

Licensed Clinical Social Worker

Stephanie James , LCSW

Social Worker - Clinical

NPI 1922159805

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2017

Registered at 2909 BENT AVE, CHEYENNE, WY 820012742 (Tel: 3077601871)

📍
Updated Business Mailing Address September 27, 2017

Registered at PO BOX 21270, CHEYENNE, WY 820037025 (Tel: (307) 760-1871)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as CAROLJEAN BONGO, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Psychologist (License #432 in WY)

📍
Updated Business Mailing Address August 23, 2017

Registered at PO BOX 21270, CHEYENNE, WY 820037025 (Tel: 3077601871)

NPI Profile Active August 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2010

Registered at 2909 BENT AVE, CHEYENNE, WY 820012742 (Tel: 3077601871)

📍
Updated Business Mailing Address August 28, 2010

Registered at PO BOX 1408, LARAMIE, WY 820731408 (Tel: 3077601871)

👤
Provider Name / Credentials Updated August 28, 2010

Recorded as CAROLJEAN BONGO, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2010

Psychologist (License #432 in WY)

🟢
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134220189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 21270

Cheyenne, WY 820037025

Phone: 3077601871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.