Active NPI
Duperly Wright, Ma, MFT
- Community/Behavioral Health Agency
- San Jose, CA
National Provider Identifier
1568798429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFT46673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Duperly Wright
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT46673 | Other | CA | BBSE |
| 11980213 | Other | CA | CAQH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1295959096
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.