Individual provider Active NPI

Kathryn Wright

  • Clinical Psychologist
  • Morgantown, WV
National Provider Identifier
1538178116
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
61219 Issued in WV
Practice address
1286 Suncrest Town Centre Dr
Morgantown, WV 26505-1828
Phone
(681) 285-5469
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2695 NC
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 61219 WV Primary

Addresses

Primary practice location

1286 Suncrest Town Centre Dr
Morgantown, WV 26505-1828

Mailing address

249 Palisades Dr
Morgantown, WV 26508-9009
Phone (919) 783-5431

Other practice location 1

3141 John Humphries Wynd
Raleigh, NC 27612-5438
Phone (919) 783-5431

Other identifiers 1

IdentifierTypeStateIssuer
6000106MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 2, 2012 through Sep 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61219WVMDClinical Psychologist
2695NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grew, Morter & Hartye, PA Clinical Past Accepting new patients
Osvold Psychotherapy & Testing, Inc. Clinical Past Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1538178116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 PALISADES DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089009",
            "telephone_number": "919-783-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051828",
            "telephone_number": "681-285-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 John Humphries Wynd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125438",
            "country_code": "US",
            "telephone_number": "919-783-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2695",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "61219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.