Individual provider Active NPI

Kerri Wright, PSY.D

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
National Provider Identifier
1154796480
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
4882 Issued in NC
Practice address
7206 Courtney Pines Rd
Wilmington, NC 28411-7076
Phone
(910) 274-3535
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4882 NC
Clinical Child & Adolescent Psychologist 103TC2200X 4882 NC Primary

Addresses

Primary practice location

7206 Courtney Pines Rd
Wilmington, NC 28411-7076

Mailing address

7206 Courtney Pines Rd
Wilmington, NC 28411-7076
Phone (910) 274-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111003015 NC Practitioner - Clinical Psychologist 8426461468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Healthcare Services IncGroup PAC ID 3274625132, 5 clinicians

Practice addresses (Care Compare)

3904 Oleander Dr
Suite 102
Wilmington, NC 28403-6735
Phone (910) 313-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4882NCMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Psychological and Assessment Services Current Accepting new patients
Behavioral Healthcare Services, Inc. CurrentSince Oct 10, 2020 Accepting new patients
Behavioral Healthcare Services, Inc. CurrentSince Oct 10, 2020 Accepting new patients
Wright Psychological and Assessment Services Current Accepting new patients

Locations

3904 Oleander Dr
Ste 102
Wilmington, NC 28403
Phone (910) 313-3232

Organizations & group practices 4

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": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1154796480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 COURTNEY PINES RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117076",
            "telephone_number": "910-274-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 COURTNEY PINES RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117076",
            "telephone_number": "910-274-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KERRI",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4882",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "4882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.