Active NPI
Madeline Wright, MS LLP
- Counseling Psychologist
- Livonia, MI
National Provider Identifier
1558375360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301012382
- Practice address
- 17177 N Laurel Park Dr
Suite 131
Livonia, MI 48152-2693 - Phone
- (734) 462-3210
- Fax
- (734) 462-1024
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301012382 | MI | Primary |
Addresses
Primary practice location
17177 N Laurel Park Dr
Suite 131
Livonia, MI 48152-2693
Mailing address
17177 N Laurel Park Dr
Suite 131
Livonia, MI 48152-2693
Phone (734) 462-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | MI | SOCIAL SECURITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012382 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor M. Cruz MD, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1558375360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17177 N LAUREL PARK DR",
"address_2": "SUITE 131",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522693",
"telephone_number": "734-462-3210",
"fax_number": "734-462-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17177 N LAUREL PARK DR",
"address_2": "SUITE 131",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522693",
"telephone_number": "734-462-3210",
"fax_number": "734-462-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MADELINE",
"credential": "MS LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301012382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY",
"identifier": "$$$$$$$$$",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.