Organization Active NPI

Duperly Wright, Ma, MFT

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1568798429
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFT46673 Issued in CA
Legal business name
DUPERLY WRIGHT, MA, MFT
Practice address
4125 Blackford Ave Ste 245
San Jose, CA 95117-1705
Phone
(408) 406-7698
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Duperly WrightNPI 1295959096
Title
Owner
Phone
(408) 406-7698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFT46673 CA Primary

Addresses

Primary practice location

4125 Blackford Ave Ste 245
San Jose, CA 95117-1705

Mailing address

4125 Blackford Ave Ste 245
San Jose, CA 95117-1705
Phone (408) 406-7698

Other identifiers 2

IdentifierTypeStateIssuer
MFT46673OtherCABBSE
11980213OtherCACAQH

National Provider Directory

National Provider Directory

Locations

4125 Blackford Ave
Ste 245
San Jose, CA 95117
Phone (408) 406-7698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1568798429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 BLACKFORD AVE STE 245",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171705",
            "telephone_number": "408-406-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BLACKFORD AVE STE 245",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171705",
            "telephone_number": "408-406-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPERLY WRIGHT, MA, MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DUPERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-406-7698"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT46673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBSE",
            "identifier": "MFT46673",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11980213",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.