Individual provider Active NPI

Tralyece Aeryoll Wright

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1275291536
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
94026213 Issued in CA
Practice address
1001 Dove St Ste 110
Newport Beach, CA 92660-2845
Phone
(909) 918-6514
Fax
(888) 486-2148
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 94026213 CA Primary

Addresses

Primary practice location

1001 Dove St Ste 110
Newport Beach, CA 92660-2845

Mailing address

1001 Dove St Ste 110
Newport Beach, CA 92660-2845

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.therapynotes.com/app/login/ Direct

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

State licenses

LicenseStateTypeSpecialty
94026213CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg M. Baringoldz, PH.D., Inc. Clinical PastSince Dec 5, 2021 Accepting new patients
Teri M. Pokrajac, Psy.D. and Associate, a Clinical Psychology Corporat PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1275291536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602845",
            "telephone_number": "909-918-6514",
            "fax_number": "888-486-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TRALYECE",
        "middle_name": "AERYOLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "94026213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.therapynotes.com/app/login/",
            "affiliation": "N",
            "endpointDescription": "https://www.therapynotes.com/app/login/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Dove St Ste 110",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926602845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.