Active NPI
Michael Philip Wright, P.H.D.
- Clinical Psychologist
- Long Beach, CA
National Provider Identifier
1669678835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24532
- Practice address
- 6714 E Driscoll St
Long Beach, CA 90815-4849 - Phone
- (562) 241-1603
- NPI assigned
- Jun 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-18160 | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | 25432 | CA | |
| Clinical Psychologist | 103TC0700X | PSY24532 | CA | Primary |
Addresses
Primary practice location
6714 E Driscoll St
Long Beach, CA 90815-4849
Mailing address
6714 E Driscoll St
Long Beach, CA 90815-4849
Phone (562) 241-1603
Other practice location 1
4001 Westerly Pl
Suite 110
Newport Beach, CA 92660-2315
Phone (949) 756-8799
Other practice location 2
5199 E Pacific Coast Hwy Ste 615
Long Beach, CA 90804-3367
Phone (562) 241-1603
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 |
|---|---|---|---|
| 25432 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY24532 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669678835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6714 E DRISCOLL ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908154849",
"telephone_number": "562-241-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6714 E DRISCOLL ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908154849",
"telephone_number": "562-241-1603"
}
],
"practiceLocations": [
{
"address_1": "4001 Westerly Pl",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602315",
"country_code": "US",
"telephone_number": "949-756-8799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5199 E Pacific Coast Hwy Ste 615",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908043367",
"country_code": "US",
"telephone_number": "562-241-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "MICHAEL",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "P.H.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-18160",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "25432",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.