Angela F Wright, PSY.D.
Individual provider Active NPI Clinical Psychologist · Centerville, IN
NPI 1740375294 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1740375294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 20043440B (IN)
- Practice address
- 201 W Main St
Centerville, IN 47330-1228 - Phone
- (765) 855-4237
- Fax
- (765) 855-4238
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302002083 | IN | Practitioner - Clinical Psychologist | 4284040072 | Practice locations: Centerville, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043440B | IN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043440B | IN | Yes |
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
Other providers in Centerville, IN
- Samantha T Suttles
- Jane Ann Turner
- Cassidy Weiss
- Well Care Community Health, Inc.
- Witham Memorial Hospital
All providers in Centerville, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.