Individual provider Active NPI

Lori Ellen Stowers Wright, PHD

  • Psychologist
  • Houston, TX
National Provider Identifier
1073556957
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32266 Issued in TX
Practice address
12012 Wickchester LN
Suite 550
Houston, TX 77079-1229
Phone
(832) 448-2800
Fax
(832) 448-2801
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32266 TX
Psychologist 103T00000X 32266 TX Primary

Addresses

Primary practice location

12012 Wickchester LN
Suite 550
Houston, TX 77079-1229

Mailing address

5524 Bee Caves Rd Ste K4
West Lake Hills, TX 78746-5247
Phone (512) 649-3050

Other identifiers 3

IdentifierTypeStateIssuer
162335701MedicaidTX
162335702MedicaidTX
86855AOtherTXBCBS

Other names 1

  • Lori Ellen Carlton Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Psychological Services PLLC Psychologist CurrentSince Sep 17, 2019 Accepting new patients
Senior Connections of Texas, PLLC Clinical Past Accepting new patients
Geriatric Evaluation & Mental Clinical Past Accepting new patients

Locations

4749 Williams Dr
Ste 301
Georgetown, TX 78633
Phone (512) 710-0551

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1073556957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE K4",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465247",
            "telephone_number": "512-649-3050",
            "fax_number": "512-717-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 WICKCHESTER LN",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791229",
            "telephone_number": "832-448-2800",
            "fax_number": "832-448-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWERS WRIGHT",
        "first_name": "LORI",
        "middle_name": "ELLEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32266",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162335701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162335702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86855A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CARLTON",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.