Individual provider Active NPI

Duperly Wright

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1295959096
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT46673 Issued in CA
Practice address
4125 Blackford Ave Ste 245
San Jose, CA 95117-1705
Phone
(408) 406-7698
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF29562 CA
Marriage & Family Therapist 106H00000X MFT46673 CA Primary

Addresses

Primary practice location

4125 Blackford Ave Ste 245
San Jose, CA 95117-1705

Mailing address

4125 Blackford Ave Ste 245
San Jose, CA 95117-1705
Phone (408) 406-7698

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
IMF29562CAMDMarriage & Family Therapist
MFT46673CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duperly Wright, Ma, MFT CurrentSince Sep 6, 2020 Accepting new patients
County of San Mateo Past Accepting new patients

Locations

4125 Blackford Ave
Ste 245
San Jose, CA 95117
Phone (408) 406-7698

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1295959096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 BLACKFORD AVE STE 245",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171705",
            "telephone_number": "408-406-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BLACKFORD AVE STE 245",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171705",
            "telephone_number": "408-406-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DUPERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF29562",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT46673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.