Individual provider Active NPI

Johnathan Wright, PSY.D.

  • Clinical Psychologist
  • Anchorage, AK
National Provider Identifier
1316349392
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
216829 Issued in AK
Practice address
999 E Tudor Rd
Anchorage, AK 99503-6123
Phone
(907) 729-3028
NPI assigned
Sep 22, 2014
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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 216829 AK Primary

Addresses

Primary practice location

999 E Tudor Rd
Anchorage, AK 99503-6123

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-9989

Other practice location 1

1205 E International Airport Rd Ste 100
Anchorage, AK 99518-1409
Phone (907) 570-6382

Other identifiers 1

IdentifierTypeStateIssuer
216829OtherAKPSYCHOLOGIST LICENSE

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
I20250513000401 TX Practitioner - Clinical Psychologist 0547787632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

4441 Diplomacy Dr
Anchorage, AK 99508-5910
Phone (907) 729-6799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Mar 1, 2025 Accepting new patients
Southcentral Foundation CurrentSince Mar 1, 2025 Accepting new patients
Alaska Marriage & Family Therapy Associates CurrentSince Jan 1, 2024 Accepting new patients
Southcentral Foundation CurrentSince Mar 1, 2025 Accepting new patients
Southcentral Foundation Current Accepting new patients
Alaska Marriage & Family Therapy Associates LLC CurrentSince Jan 1, 2024 Accepting new patients
The Unity Hospital of Rochester PastSince Jul 1, 2021 Accepting new patients
Southcentral Foundation PastSince Jul 28, 2019 Accepting new patients

Locations

1205 E Intl Airport Rd
Ste 100
Anchorage, AK 99518
Phone (907) 570-6382

400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4654

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4441 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-2000

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

999 E Tudor Rd
Anchorage, AK 99503
Phone (907) 729-3028

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1316349392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-9989",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036123",
            "telephone_number": "907-729-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 E International Airport Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995181409",
            "country_code": "US",
            "telephone_number": "907-570-6382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JOHNATHAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "216829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "216829",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.