Active NPI
Michelle Marie Wright, PSYD
- Clinical Psychologist
- Cedar Park, TX
National Provider Identifier
1760680730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 39085
- Practice address
- 2301 Bagdad Rd Ste 104
Cedar Park, TX 78613-6501 - Phone
- (323) 470-0715
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60748844 | WA | |
| Clinical Psychologist | 103TC0700X | PSY27860 | CA | |
| Clinical Psychologist | 103TC0700X | 39085 | TX | Primary |
Addresses
Primary practice location
2301 Bagdad Rd Ste 104
Cedar Park, TX 78613-6501
Mailing address
PO Box 352
Round Rock, TX 78680-0352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27860 | CA | MD | Clinical Psychologist |
| PY60748844 | WA | MD | Clinical Psychologist |
| 27860 | CA | MD | General Practice Dentistry |
| 39085 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Psychological Services, PC | Clinical | Current | Accepting new patients |
| Bluebonnet Trails Community MHMR Center | Clinical | Current | Accepting new patients |
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| University of Puget Sound | Past | Accepting new patients |
Locations
2301 Bagdad Rd
Ste 104
Cedar Park, TX 78613
Phone (512) 623-0629
1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Clinical
-
- Clinical Psychologist
- Cedar Park, TX
- NPI 1245076009
-
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
-
- Student Health Clinic/Center
- Tacoma, WA
- NPI 1770557290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1760680730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 352",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786800352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 BAGDAD RD STE 104",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786136501",
"telephone_number": "323-470-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60748844",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27860",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.