Active NPI
Candace Gardner Wright, M.ED.
- Psychologist
- Charleston, WV
National Provider Identifier
1386826360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 364
- Practice address
- 5600 Maccorkle Ave SE
Charleston, WV 25304-2343 - Phone
- (304) 926-1688
- Fax
- (304) 925-1524
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 364 | WV | Primary |
Addresses
Primary practice location
5600 Maccorkle Ave SE
Charleston, WV 25304-2343
Mailing address
5600 Maccorkle Ave SE
Charleston, WV 25304-2343
Phone (304) 926-1688
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1386826360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042343",
"telephone_number": "304-926-1688",
"fax_number": "304-925-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042343",
"telephone_number": "304-926-1688",
"fax_number": "304-925-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CANDACE",
"middle_name": "GARDNER",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.