Individual provider Active NPI

Martha Ann Wright, PHD

  • Psychologist
  • Durham, NC
National Provider Identifier
1467444836
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2833 Issued in NC
Practice address
6224 Fayetteville Rd Ste 105
Durham, NC 27713-6288
Phone
(919) 439-6120
Fax
(919) 246-4420
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2833 NC Primary

Addresses

Primary practice location

6224 Fayetteville Rd Ste 105
Durham, NC 27713-6288

Mailing address

6224 Fayetteville Rd Ste 105
Durham, NC 27713-6288
Phone (919) 439-6120

Other practice location 1

5617 Maxwell Pl
Wilmington, NC 28409-2966
Phone (910) 742-9243

Other identifiers 4

IdentifierTypeStateIssuer
P00036711OtherNCRR MEDICARE
6000598MedicaidNC
61-00244OtherEVERCARE
045XUOtherNCBCBSNC

Other names 1

  • Martha Wright Cole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111115000362 NC Practitioner - Clinical Psychologist 5395919096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6224 Fayetteville Rd
Suite 105
Durham, NC 27713-6288
Phone 91943961202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2833NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Psychiatric Associates, PLLC Current Accepting new patients
Alpha Psychiatric Associates, PLLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

401 Keisler Dr
Ste 100
Cary, NC 27518
Phone (919) 439-6120

6224 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 429-6190

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1467444836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136288",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136288",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5617 Maxwell Pl",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284092966",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00036711",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000598",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "61-00244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "045XU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "COLE",
            "middle_name": "WRIGHT",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.