Organization Active NPI

DRS, Lapporte, Wright & Assoc., P.C.

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1861691131
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
060-006117 Issued in IL
Legal business name
DRS, LAPPORTE, WRIGHT & ASSOC., P.C.
Practice address
1580 N Northwest Hwy
Suite 224-a
Park Ridge, IL 60068-1444
Phone
(847) 299-3628
Fax
(847) 236-9115
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Dr. Virginia Carol Wright, PHDNPI 1629179759
Title
Owner
Phone
(847) 299-3628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 060-006117 IL Primary

Addresses

Primary practice location

1580 N Northwest Hwy
Suite 224-a
Park Ridge, IL 60068-1444

Mailing address

1580 N Northwest Hwy Ste 121B
Park Ridge, IL 60068-1462
Phone (847) 299-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606000615 IL Part B Supplier - Clinic/Group Practice 3779848148 Receives reassigned benefits from 3 practitioners
Practice locations: Park Ridge, IL

National Provider Directory

National Provider Directory

Locations

444 S Rand Rd
Ste 301
Lake Zurich, IL 60047
Phone 84729936282

1580 N Northwest Hwy
Ste 224A
Park Ridge, IL 60068
Phone (847) 299-3628

1580 N Northwest Hwy
Ste 121B
Park Ridge, IL 60068
Phone (847) 299-3628

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1861691131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 121B",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681462",
            "telephone_number": "847-299-3628",
            "fax_number": "800-840-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "SUITE 224-A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-299-3628",
            "fax_number": "847-236-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS, LAPPORTE, WRIGHT & ASSOC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-299-3628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "060-006117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.