Individual provider Active NPI

Jonathan Wright, PHD

  • Counseling Psychologist
  • Gainesville, FL
National Provider Identifier
1700557303
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY11264 Issued in FL
Practice address
115 NE 7TH Ave
Gainesville, FL 32601-4391
Phone
(352) 575-0055
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY11264 FL Primary

Addresses

Primary practice location

115 NE 7TH Ave
Gainesville, FL 32601-4391

Mailing address

3517 NW 52ND Ave
Gainesville, FL 32605-1055
Phone (352) 870-4574

Other practice location 1

9200 NW 39th Ave
Ste 130 3185
Gainesville, FL 32606-7331
Phone (352) 575-0055

Other names 1

  • Dr. JD Wright Professional name

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

LicenseStateTypeSpecialty
PY11264FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
River Rise Counseling and Psychological Services Counseling CurrentSince Mar 20, 2022 Accepting new patients

Locations

9200 NW 39th Ave
Ste 1303185
Gainesville, FL 32606
Phone (352) 575-0055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1700557303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 NW 52ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051055",
            "telephone_number": "352-870-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 7TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014391",
            "telephone_number": "352-575-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 NW 39th Ave",
            "address_2": "Ste 130 3185",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326067331",
            "country_code": "US",
            "telephone_number": "352-575-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY11264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JD",
            "last_name": "WRIGHT",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.