Active NPI
Kimberly Wright, PH.D., P.L.L.C.
- Counseling Psychologist
- Scottsdale, AZ
National Provider Identifier
1093004855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3047
- Legal business name
- KIMBERLY WRIGHT, PH.D., P.L.L.C.
- Practice address
- 3295 N Drinkwater Blvd Ste 1
Scottsdale, AZ 85251-6437 - Phone
- (602) 509-6591
- Fax
- (480) 820-0239
- NPI assigned
- Apr 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly S Wright, PH.D.
- Title
- Owner/ Psychologist
- Phone
- (602) 509-6591
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3047 | AZ | Primary |
Addresses
Primary practice location
3295 N Drinkwater Blvd Ste 1
Scottsdale, AZ 85251-6437
Mailing address
3295 N Drinkwater Blvd Ste 1
Scottsdale, AZ 85251-6437
Phone (602) 509-6591
Other practice location 1
1845 S Dobson Rd Ste 213
Mesa, AZ 85202-5663
Phone (602) 509-6591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 867723 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1841206851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531180800000",
"number": "1093004855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 N DRINKWATER BLVD STE 1",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516437",
"telephone_number": "602-509-6591",
"fax_number": "480-820-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 N DRINKWATER BLVD STE 1",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516437",
"telephone_number": "602-509-6591",
"fax_number": "480-820-0239"
}
],
"practiceLocations": [
{
"address_1": "1845 S Dobson Rd Ste 213",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852025663",
"country_code": "US",
"telephone_number": "602-509-6591",
"fax_number": "480-820-0239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIMBERLY WRIGHT, PH.D., P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-01",
"last_updated": "2018-07-10",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
"authorized_official_telephone_number": "602-509-6591",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "3047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "867723",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.