Individual provider Active NPI

Phillip G Wright, PH.D.

  • Clinical Psychologist
  • Chattanooga, TN
National Provider Identifier
1518048552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1260 Issued in TN
Practice address
2339 McCallie Ave
Suite 401, Plaza Two,
Chattanooga, TN 37404-3256
Phone
(423) 629-5524
Fax
(423) 698-7235
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 P1260 TN Primary

Addresses

Primary practice location

2339 McCallie Ave
Suite 401, Plaza Two,
Chattanooga, TN 37404-3256

Mailing address

2339 McCallie Ave
Suite 401, Plaza Two,
Chattanooga, TN 37404-3256
Phone (423) 629-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080627000284 TN Practitioner - Clinical Psychologist 2264504760 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Jordan Dr
Chattanooga, TN 37421-6732
Phone (423) 510-1999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1260TNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518048552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE",
            "address_2": "SUITE 401, PLAZA TWO,",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043256",
            "telephone_number": "423-629-5524",
            "fax_number": "423-698-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE",
            "address_2": "SUITE 401, PLAZA TWO,",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043256",
            "telephone_number": "423-629-5524",
            "fax_number": "423-698-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PHILLIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.