Active NPI
Katherine A H Wright, PH.D.
- Clinical Psychologist
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2391
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39140000 | Medicaid | WI |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2391 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine a. Hamilton Wright, PH.D., LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Wausau, WI
- NPI 1356788327
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marquette, MI
- NPI 1205903051
-
- Clinical Social Worker
- Marquette, MI
- NPI 1710941935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.