Individual provider Active NPI

Teri Wright Budner, PH.D.

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1750324323
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12875 Issued in CA
Practice address
2101 N Main St
Ste. D
Santa Ana, CA 92706-2701
Phone
(714) 558-8487
Fax
(714) 558-8497
NPI assigned
Jun 13, 2006
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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 PSY12875 CA Primary

Addresses

Primary practice location

2101 N Main St
Ste. D
Santa Ana, CA 92706-2701

Mailing address

2101 N Main St
Ste. D
Santa Ana, CA 92706-2701
Phone (714) 558-8487

Other identifiers 1

IdentifierTypeStateIssuer
74319OtherCAMHN

Other names 1

  • Dr. Teri Marie Wright Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060201000632 CA Practitioner - Clinical Psychologist 7719991462 Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 N Main St D
Santa Ana, CA 92706-2763
Phone (714) 558-8487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY12875CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1750324323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N MAIN ST",
            "address_2": "STE. D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062701",
            "telephone_number": "714-558-8487",
            "fax_number": "714-558-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N MAIN ST",
            "address_2": "STE. D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062701",
            "telephone_number": "714-558-8487",
            "fax_number": "714-558-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNER",
        "first_name": "TERI",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "74319",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "WRIGHT",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.