Active NPI
Stephen Lance Wright, PHD
- Counseling Psychologist
- Tallahassee, FL
National Provider Identifier
1043221096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY0004349
- Practice address
- 312 E Georgia St
Tallahassee, FL 32301-1250 - Phone
- (850) 222-3045
- Fax
- (850) 521-3422
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY0004349 | FL | Primary |
Addresses
Primary practice location
312 E Georgia St
Tallahassee, FL 32301-1250
Mailing address
312 E Georgia St
Tallahassee, FL 32301-1250
Phone (850) 222-3045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73636 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1043221096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E GEORGIA ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323011250",
"telephone_number": "850-222-3045",
"fax_number": "850-521-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E GEORGIA ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323011250",
"telephone_number": "850-222-3045",
"fax_number": "850-521-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "STEPHEN",
"middle_name": "LANCE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY0004349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "73636",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.