Organization Active NPI

Faith Joy Wright, Psychotherapist, Inc

  • Clinical Social Worker
  • Stone Mountain, GA
National Provider Identifier
1053551176
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001828 Issued in GA
Legal business name
FAITH JOY WRIGHT, PSYCHOTHERAPIST, INC
Practice address
1310 Rockbridge Rd
St. E
Stone Mountain, GA 30087-3163
Phone
(770) 381-2230
Fax
(770) 381-2223
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Faith Joy Wright, PH.D., LCSWNPI 1164593828
Title
Owner/Psychotherapist
Phone
(770) 381-2230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW001828 GA Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1310 Rockbridge Rd
St. E
Stone Mountain, GA 30087-3163

Mailing address

PO Box 870393
Stone Mountain, GA 30087-0010
Phone (770) 381-2230

Other identifiers 2

IdentifierTypeStateIssuer
247997521AMedicaidGA
247997521BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000554 GA Part B Supplier - Clinic/Group Practice 4486684511 Receives reassigned benefits from 1 practitioner
Practice locations: Stone Mountain, GA

National Provider Directory

National Provider Directory

Locations

1310 Rockbridge Rd
Ste E
Stone Mountain, GA 30087
Phone (770) 381-2230

5300 Memorial Dr
Ste 123D
Stone Mountain, GA 30083
Phone (404) 423-4841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1053551176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870393",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870010",
            "telephone_number": "770-381-2230",
            "fax_number": "770-381-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROCKBRIDGE RD",
            "address_2": "ST. E",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873163",
            "telephone_number": "770-381-2230",
            "fax_number": "770-381-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH JOY WRIGHT, PSYCHOTHERAPIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "770-381-2230",
        "authorized_official_credential": "PH.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001828",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247997521A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247997521B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.