Individual provider Active NPI

Jennifer Bugg Wright, PSY.D.

  • Health Psychologist
  • Gaithersburg, MD
National Provider Identifier
1295770758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
5531 Issued in MD
Practice address
845 Quince Orchard Blvd Ste Q
Gaithersburg, MD 20878-1676
Phone
(303) 257-6880
Fax
(303) 257-6880
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2670 CO
Psychologist 103T00000X 5331 MD
Psychologist 103T00000X 2670 CO
Forensic Psychologist 103TF0200X 2670 CO
Health Service Psychologist 103TH0100X 2670 CO
Rehabilitation Psychologist 103TR0400X 2670 CO
Health Psychologist 103TH0004X 5531 MD Primary

Addresses

Primary practice location

845 Quince Orchard Blvd Ste Q
Gaithersburg, MD 20878-1676

Mailing address

12504 E Lasalle PL
Aurora, CO 80014-1924
Phone (303) 257-6880

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
2670COMDClinical Neuropsychologist
5531MDMDHealth Psychologist
5331MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Behavioral Health Consultants Inc Clinical Neuropsychologist CurrentSince May 16, 2022 Accepting new patients
Wright Behavioral Health Consultants LLC CurrentSince May 16, 2022 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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295770758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 E LASALLE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141924",
            "telephone_number": "303-257-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 QUINCE ORCHARD BLVD STE Q",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781676",
            "telephone_number": "303-257-6880",
            "fax_number": "303-257-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JENNIFER",
        "middle_name": "BUGG",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2670",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "5331",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2670",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CO",
            "license": "2670",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CO",
            "license": "2670",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CO",
            "license": "2670",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MD",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.