Adona Irene Wimberly, PH.D., L.C.A.D.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04227 Issued in MD

Practice address

1447 York Rd Ste 506
Lutherville, MD 21093-6022

Phone

(410) 825-2281

Fax

(410) 825-2280

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Adona Irene Wright Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Physician Partners LLCGroup PAC ID 8224353891, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Patuxent Counseling and Consulting, LLC

  • Clinical Psychologist
  • Columbia, MD
  • NPI 1730839192
  Medicare reassignment NPD Authorized official
• Post Acute Physician Partners, LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1710385554
  Medicare reassignment Care Compare group NPD
• Sage Hollow Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1003700071

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1750597589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 LONG LOOK LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453241",
            "telephone_number": "443-621-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 506",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936022",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 York Rd",
            "address_2": "suite309",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936097",
            "country_code": "US",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 York Rd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936022",
            "country_code": "US",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "ADONA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04227",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04227",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LCA124",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADONA",
            "last_name": "WRIGHT",
            "middle_name": "IRENE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William J. Ravich, M.D., L.L.C.
• Eric Q Williams, OD
• Mark Frederic Williams, M.D.
• Javon Mytira Willis
• Stephen Wesley Wilson, CRNA
• Windrush Behavioral Health, LLC
• Windrush Behavioral Health, LLC
• Amy Link Winkelstein, M.D.
• Charles A Winternitz, MD
• Mary Ann Wippel, CRNP

• Clinical Psychologist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.