Individual provider Active NPI

Katherine A H Wright, PH.D.

  • Clinical Psychologist
  • Wausau, WI
National Provider Identifier
1508807744
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2391 Issued in WI
Practice address
227500 Rib Mountain Dr Ste 102
Wausau, WI 54401-5052
Phone
(715) 845-6949
Fax
(888) 482-5792
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2391 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

Other identifiers 1

IdentifierTypeStateIssuer
39140000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20071106000138 WI Practitioner - Clinical Psychologist 0446347652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2391WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine a. Hamilton Wright, PH.D., LLC CurrentSince Aug 5, 2013 Accepting new patients
Marquette General Hospital, Inc. Clinical Past Accepting new patients
Marquette General Hospital, Inc. Past Accepting new patients

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) 848-0002

3600 Stewart Ave
#B
Wausau, WI 54401
Phone (715) 301-1123

Organizations & group practices 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1508807744",
    "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",
            "fax_number": "888-482-5792"
        },
        {
            "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": {
        "last_name": "WRIGHT",
        "first_name": "KATHERINE",
        "middle_name": "A H",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39140000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.