Individual provider Active NPI

June Wright-Good

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1114978053
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002960 Issued in VA
Practice address
2601 Princess Anne St Ste 101
Fredericksburg, VA 22401-3254
Phone
(540) 368-3030
Fax
(540) 368-3030
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002960 VA Primary

Addresses

Primary practice location

2601 Princess Anne St Ste 101
Fredericksburg, VA 22401-3254

Mailing address

2601 Princess Anne St Ste 101
Fredericksburg, VA 22401-3254
Phone (540) 368-3030

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

State licenses

LicenseStateTypeSpecialty
0810002960VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients

Organizations & group practices 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1114978053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 PRINCESS ANNE ST STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013254",
            "telephone_number": "540-368-3030",
            "fax_number": "540-368-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PRINCESS ANNE ST STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013254",
            "telephone_number": "540-368-3030",
            "fax_number": "540-368-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-GOOD",
        "first_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.