Individual provider Active NPI

Laura Ruth Wright, ED.D

  • Clinical Psychologist
  • Waco, TX
National Provider Identifier
1295777134
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25008 Issued in TX
Practice address
710 N 64TH St
Waco, TX 76710-4387
Phone
(254) 772-8055
Fax
(254) 772-3019
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 25008 TX Primary

Addresses

Primary practice location

710 N 64TH St
Waco, TX 76710-4387

Mailing address

710 N 64TH St
Waco, TX 76710-4387
Phone (254) 772-8055

Other identifiers 1

IdentifierTypeStateIssuer
116124202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050121000133 TX Practitioner - Clinical Psychologist 2163471665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

710 N 64TH St
Waco, TX 76710-4387
Phone (254) 772-8055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psylrw, Inc Clinical CurrentSince Aug 23, 2009 Accepting new patients
Josh Warren MD PA Past Accepting new patients
Waco Bluebonnet Holdings, Inc. Past Accepting new patients
A to Z Rehab Services PastSince Aug 23, 2009 Accepting new patients
Waco Bluebonnet Holdings, Inc. PastSince Mar 20, 2025 Accepting new patients

Locations

6001 W Waco Dr
Ste M
Waco, TX 76710
Phone (254) 772-8055

710 N 64th St
Waco, TX 76710
Phone (254) 235-7604

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1295777134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 64TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104387",
            "telephone_number": "254-772-8055",
            "fax_number": "254-772-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 64TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104387",
            "telephone_number": "254-772-8055",
            "fax_number": "254-772-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LAURA",
        "middle_name": "RUTH",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116124202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.