Individual provider Active NPI

Angela F Wright, PSY.D.

  • Clinical Psychologist
  • Centerville, IN
National Provider Identifier
1740375294
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043440B Issued in IN
Practice address
201 W Main St
Centerville, IN 47330-1228
Phone
(765) 855-4237
Fax
(765) 855-4238
NPI assigned
Oct 3, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043440B IN Primary

Addresses

Primary practice location

201 W Main St
Centerville, IN 47330-1228

Mailing address

201 W Main St
Centerville, IN 47330-1228
Phone (765) 855-4237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302002083 IN Practitioner - Clinical Psychologist 4284040072 Practice locations: Centerville, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 W Main St
Centerville, IN 47330-1228

5582 Mansfield PL
Centerville, IN 47330-9542
Phone (765) 855-4237

PO Box
Suite 103
Centerville, IN 47330-0103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043440BINMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1740375294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "CENTERVILLE",
            "state": "IN",
            "postal_code": "473301228",
            "telephone_number": "765-855-4237",
            "fax_number": "765-855-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "CENTERVILLE",
            "state": "IN",
            "postal_code": "473301228",
            "telephone_number": "765-855-4237",
            "fax_number": "765-855-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANGELA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043440B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IN

Sources for this page

Verify at the official NPI Registry.