Wright Enhancement Center

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

1000000015105 Issued in TN

Legal business name

WRIGHT ENHANCEMENT CENTER

Practice address

3311 Kimball Ave
Memphis, TN 38111-3846

Phone

(901) 207-4662

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Otis T Jackson Jr.NPI 1053710681

Title

Ceo/President

Phone

(901) 207-4662

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Otis Jackson Jr.

  • Adult Development & Aging Psychologist
  • Memphis, TN
  • NPI 1053710681
  NPD (past) Authorized official

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1841696101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 KIMBALL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113846",
            "telephone_number": "901-207-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 KIMBALL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113846",
            "telephone_number": "901-207-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT ENHANCEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "901-207-4662",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TN",
            "license": "1000000015105",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "1000000015105",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TN",
            "license": "1000000015105",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000015105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Wozny, D.O.
• WP Supply East
• Nichole Wray, CRNA
• Sarah Michelle Wredling, FNP
• Symone A. Wren, PHARMD
• Alicia Weeks Wright, M.D.
• Andrea Payne Wright, PHARMD
• Ashley Ladd Wright, D.O.
• Barrettt Wright
• Becky B. Wright, M.D.

• Adult Development & Aging Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Adult Development & Aging Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.