Robert C Wright, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4542 Issued in FL

Practice address

15436 N Florida Ave Ste 2
Tampa, FL 33613-1248

Phone

(813) 963-1016

Fax

(813) 961-6591

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Psychological Management Group, PA

  • Counseling Psychologist
  • Tampa, FL
  • NPI 1144384264
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114046679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15436 N FLORIDA AVE STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131248",
            "telephone_number": "813-963-1016",
            "fax_number": "813-961-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15436 N FLORIDA AVE STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131248",
            "telephone_number": "813-963-1016",
            "fax_number": "813-961-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "73767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorrie L Wright
• Mary Wright, ARNP
• Nicole Wright, MSPH, GC
• Nyla N Wright
• Raven Wright, RBT
• Sheree Wright, O.D.
• Tanner Gregory Wright, M.D.
• Wrist and Hand Center P.a.
• Jena Wroblewski
• WSSH Powerback Rehabilitation Services, LLC

• Clinical Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.