Organization Active NPI

Katherine a. Hamilton Wright, PH.D., LLC

  • Community/Behavioral Health Agency
  • Wausau, WI
National Provider Identifier
1356788327
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2391-057 Issued in WI
Legal business name
KATHERINE A. HAMILTON WRIGHT, PH.D., LLC
Practice address
227500 Rib Mountain Dr Ste 102
Wausau, WI 54401-5052
Phone
(715) 845-6949
Fax
(888) 482-5792
NPI assigned
May 30, 2013
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Katherine A. H. Wright, PH.D.NPI 1508807744
Title
Clinical Psychologist
Phone
(715) 845-6949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2391-057 WI Primary

Addresses

Primary practice location

227500 Rib Mountain Dr Ste 102
Wausau, WI 54401-5052

Mailing address

227500 Rib Mountain Dr Ste 102
Wausau, WI 54401-5052
Phone (715) 845-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130805000890 WI Part B Supplier - Clinic/Group Practice 2365684255 Receives reassigned benefits from 1 practitioner
Practice locations: Wausau, WI

National Provider Directory

National Provider Directory

Locations

227500 Rib Mountain Dr
Ste 102
Rib Mountain, WI 54401
Phone (715) 845-6949

2620 Stewart Ave
Ste 318
Wausau, WI 54401
Phone (715) 842-9198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1356788327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227500 RIB MOUNTAIN DR STE 102",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015052",
            "telephone_number": "715-845-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227500 RIB MOUNTAIN DR STE 102",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015052",
            "telephone_number": "715-845-6949",
            "fax_number": "888-482-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE A. HAMILTON WRIGHT, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A. H.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "715-845-6949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2391-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.