Active NPI
Jarvis A. Wright, PH.D.
- Forensic Psychologist
- San Angelo, TX
National Provider Identifier
1659388809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 2-1582
- Practice address
- 421 W Concho Ave
San Angelo, TX 76903-6310 - Phone
- (392) 944-8184
- Fax
- (392) 658-3318
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 2-1582 | TX | Primary |
Addresses
Primary practice location
421 W Concho Ave
San Angelo, TX 76903-6310
Mailing address
421 W Concho Ave
San Angelo, TX 76903-6310
Phone (392) 944-8184
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-1582 | TX | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659388809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W CONCHO AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769036310",
"telephone_number": "392-944-8184",
"fax_number": "392-658-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W CONCHO AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769036310",
"telephone_number": "392-944-8184",
"fax_number": "392-658-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JARVIS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "TX",
"license": "2-1582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.