Individual provider Active NPI

Denise V Wright, BCBA, LBA, PH.D.

  • Clinical Psychologist
  • Massapequa, NY
National Provider Identifier
1720310303
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
026509 Issued in NY
Practice address
4250 Sunrise Hwy Ste 206
Massapequa, NY 11758-5344
Phone
(516) 640-0798
NPI assigned
Feb 5, 2010
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1095079 NY
Clinical Psychologist 103TC0700X 026509 NY Primary

Addresses

Primary practice location

4250 Sunrise Hwy Ste 206
Massapequa, NY 11758-5344

Mailing address

331 Eastlake Ave
Massapequa Park, NY 11762-1836
Phone (516) 640-0798

Other practice location 1

331 Eastlake Ave
Massapequa Park, NY 11762-1836
Phone (516) 640-0798

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
1095079NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Wright Licensed Behavior Analyst PLLC Behavior Analyst Current Accepting new patients
Behavior Change Success Corp Past Accepting new patients

Locations

4250 Sunrise Hwy
Ste 206
Massapequa, NY 11758
Phone (516) 324-6380

4250 Sunrise Hwy
Ste 106
Massapequa, NY 11758
Phone (516) 640-0798

4250 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 640-0798

633 Old Country Rd
Plainview, NY 11803
Phone (516) 262-1541

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1720310303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 EASTLAKE AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621836",
            "telephone_number": "516-640-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 SUNRISE HWY STE 206",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585344",
            "telephone_number": "516-640-0798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Eastlake Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117621836",
            "country_code": "US",
            "telephone_number": "516-640-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DENISE",
        "middle_name": "V",
        "credential": "BCBA, LBA, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1095079",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.