Sarah Elizabeth Wright, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071.008895 Issued in IL

Practice address

217 S Adams St
Golconda, IL 62938-1134

Phone

(618) 713-0896

NPI assigned

Nov 1, 2010

Last updated

Feb 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1104126648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11632 HONALEE HILLS DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629010005",
            "telephone_number": "618-713-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S ADAMS ST",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "629381134",
            "telephone_number": "618-713-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.008895",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "1656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pope County Care Home Inc (Pope County Care Center Inc)
• Pope County Cusd #1
• Pope County Volunteer Ambulance Service
• Rural Pope County EMS
• Susan G Simmons, RN, QMRP, QMHP

• Clinical Neuropsychologist in Golconda, IL
• Providers in Golconda, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.