Active NPI
Carolyn Wright, PHD
- Psychologist
- Pismo Beach, CA
National Provider Identifier
1942347125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY15148
- Practice address
- 145 Whitecap St
Pismo Beach, CA 93449-2817 - Phone
- (805) 904-9571
- Fax
- (805) 773-3859
- NPI assigned
- Jan 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY15148 | CA | Primary |
Addresses
Primary practice location
145 Whitecap St
Pismo Beach, CA 93449-2817
Mailing address
145 Whitecap St
Pismo Beach, CA 93449-2817
Phone (805) 904-9571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15148 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1942347125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 WHITECAP ST",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934492817",
"telephone_number": "805-904-9571",
"fax_number": "805-773-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 WHITECAP ST",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934492817",
"telephone_number": "805-904-9571",
"fax_number": "805-773-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY15148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.