Active NPI
Timothy H Wright, PSY.D.
- Clinical Psychologist
- Narberth, PA
National Provider Identifier
1487778973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017780
- Practice address
- 210 Price Ave Apt 2
Narberth, PA 19072-1968 - Phone
- (609) 320-7742
- NPI assigned
- Mar 19, 2007
- Last updated
- Feb 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00360200 | NJ | |
| Clinical Psychologist | 103TC0700X | PS017780 | PA | Primary |
Addresses
Primary practice location
210 Price Ave Apt 2
Narberth, PA 19072-1968
Mailing address
210 Price Ave Apt 2
Narberth, PA 19072-1968
Phone (609) 320-7742
Other practice location 1
117 Forrest Ave Ste 206
Narberth, PA 19072-2366
Phone (609) 320-7742
Other practice location 2
323 Virginia Ave
Collingswood, NJ 08108-2914
Phone (609) 320-7742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250408000973 | PA | Practitioner - Psychologist Billing Independently | 6709032667 | Practice locations: Narberth, PA |
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1487778973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PRICE AVE APT 2",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721968",
"telephone_number": "609-320-7742",
"fax_number": "610-313-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PRICE AVE APT 2",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721968",
"telephone_number": "609-320-7742"
}
],
"practiceLocations": [
{
"address_1": "117 Forrest Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Narberth",
"state": "PA",
"postal_code": "190722366",
"country_code": "US",
"telephone_number": "609-320-7742",
"fax_number": "856-356-2019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "323 Virginia Ave",
"address_purpose": "LOCATION",
"city": "Collingswood",
"state": "NJ",
"postal_code": "081082914",
"country_code": "US",
"telephone_number": "609-320-7742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "TIMOTHY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00360200",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.