Organization Active NPI

Ginny Wright, PH.D., P.C.

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1679585285
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1119 Issued in NC
Legal business name
GINNY WRIGHT, PH.D., P.C.
Practice address
604 Mount Vernon Ave
Charlotte, NC 28203-4538
Phone
(704) 377-5003
Fax
(704) 342-9970
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Ginny Wright, PH.D.
Title
President
Phone
(704) 377-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1119 NC Primary

Addresses

Primary practice location

604 Mount Vernon Ave
Charlotte, NC 28203-4538

Mailing address

604 Mount Vernon Ave
Charlotte, NC 28203-4538
Phone (704) 377-5003

Other identifiers 1

IdentifierTypeStateIssuer
03459OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1679585285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MOUNT VERNON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034538",
            "telephone_number": "704-377-5003",
            "fax_number": "704-342-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MOUNT VERNON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034538",
            "telephone_number": "704-377-5003",
            "fax_number": "704-342-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINNY WRIGHT, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-377-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.