Active NPI
Lisette Wright, M.A., LP
- Psychologist
- Saint Paul, MN
National Provider Identifier
1164588265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3759
- Practice address
- 790 Cleveland Ave S
Suite 207
Saint Paul, MN 55116-3858 - Phone
- (651) 690-0964
- Fax
- (651) 690-0968
- NPI assigned
- Dec 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3759 | MN | Primary |
Addresses
Primary practice location
790 Cleveland Ave S
Suite 207
Saint Paul, MN 55116-3858
Mailing address
790 Cleveland Ave S
Suite 207
Saint Paul, MN 55116-3858
Phone (651) 690-0964
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164588265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 CLEVELAND AVE S",
"address_2": "SUITE 207",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163858",
"telephone_number": "651-690-0964",
"fax_number": "651-690-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CLEVELAND AVE S",
"address_2": "SUITE 207",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163858",
"telephone_number": "651-690-0964",
"fax_number": "651-690-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LISETTE",
"credential": "M.A., LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "3759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- 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.