Individual provider Active NPI

Michelle Marie Wright, PSYD

  • Clinical Psychologist
  • Cedar Park, TX
National Provider Identifier
1760680730
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39085 Issued in TX
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

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005000001 TX Practitioner - Clinical Psychologist 0446538375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27860CAMDClinical Psychologist
PY60748844WAMDClinical Psychologist
27860CAMDGeneral Practice Dentistry
39085TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Psychological Services, PC Clinical CurrentSince Jul 7, 2024 Accepting new patients
Bluebonnet Trails Community MHMR Center Clinical CurrentSince Apr 7, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Apr 7, 2025 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.

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

Verify at the official NPI Registry.