Organization Active NPI

Kimberly Wright, PH.D., P.L.L.C.

  • Counseling Psychologist
  • Scottsdale, AZ
National Provider Identifier
1093004855
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3047 Issued in AZ
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

Updated by the provider on Jul 10, 2018

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.NPI 1841206851
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)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
867723MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111014000460 AZ Part B Supplier - Clinic/Group Practice 3375715485 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.