Individual provider Active NPI

Heidi Rochelle Wright, PSY.D.

  • Clinical Psychologist
  • Clifton Park, NY
National Provider Identifier
1447775200
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022272 Issued in NY
Practice address
855 Route 146 Ste 105
Clifton Park, NY 12065-3865
Phone
(518) 223-8099
Fax
(518) 243-8079
NPI assigned
Aug 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 022272 NY Primary

Addresses

Primary practice location

855 Route 146 Ste 105
Clifton Park, NY 12065-3865

Mailing address

855 Route 146 Ste 105
Clifton Park, NY 12065-3865
Phone (518) 223-8099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180705002060 NY Practitioner - Clinical Psychologist 1052667060 Practice locations: Clifton Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

855 Route 146
Suite 105
Clifton Park, NY 12065-3865
Phone (518) 223-8099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1447775200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 STE 105",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653865",
            "telephone_number": "518-223-8099",
            "fax_number": "518-243-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 STE 105",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653865",
            "telephone_number": "518-223-8099",
            "fax_number": "518-243-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "HEIDI",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-13",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.