DR. JACK ELMO WRIGHT (NPI# 1114059607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114059607 |
| Entity Type | Individual |
| Full Name | DR. JACK ELMO WRIGHT |
| Credential | PH.D. |
| Practice Address |
1423 N Government Way Coeur D Alene ID 83814-3335 |
| Mailing Address |
49 Old River Rd Sandpoint ID 83864-4999 |
| Practice Telephone | 2086510238 |
| Practice Fax Number | 2086672681 |
| Mailing Telephone | 2082632470 |
| Mailing Fax Number | 2086672681 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY90 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | PSYCHOLOGY LICENSE | PSY90 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467674481 | Jack G Wright | Dentist | 453 W 5th St, Mesa, AZ 85201-5703 | 2007-05-02 |
| 1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
| 1073561643 | Jack Leslie Wright | Family Medicine | 685 Good Drive, Lancaster, PA 17604-4125 | 2006-05-05 |
| 1265064661 | Jack Wright | Pharmacist | 175 Lemmon Dr, Reno, NV 89506-6757 | 2020-02-04 |
| 1699210989 | Jack Wright | Marriage & Family Therapist | 235 S El Dorado Cir, Mesa, AZ 85202-1044 | 2016-12-22 |
| 1366589277 | Jack L Wright | Pharmacist | 10452 Silverdale Way Nw, Silverdale, WA 98383-9411 | 2007-01-31 |
| 1952329930 | Jack M Wright | Family Medicine | 4001 Long Prairie Rd Ste 125, Flower Mound, TX 75028-1532 | 2006-07-17 |
| Street Address |
1423 N GOVERNMENT WAY |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548379639 | Barbara Ann Beville | Social Worker | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2006-08-30 |
| 1871899856 | B Beville and Associates, LLC | Social Worker | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2011-02-08 |
| 1336466994 | Midlife Center | Social Worker | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2010-04-22 |
| 1316264955 | Sandra Lee Winterer | Social Worker | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2010-04-21 |
| 1982829271 | Nancy A. Powers | Psychologist | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316236359 | Heather Rehil-crest | Psychologist | 1809 E Sherman Ave, Coeur D Alene, ID 83814-5873 | 2011-03-30 |
| 1407203540 | Margaret Marie Green | Psychologist | 7905 N Meadowlark Way Ste E, Coeur D Alene, ID 83815-5041 | 2016-05-18 |
| 1912234642 | Psychological Solutions, LLC | Psychologist | 1104 W Ironwood Dr, Coeur D Alene, ID 83814-2605 | 2009-11-18 |
| 1285836825 | Lynn Wierdsma | Psychologist | 1115 W Ironwood Dr, Coeur D Alene, ID 83814-4936 | 2007-06-05 |
| 1417162843 | Craig Richard Stempf | Psychologist | 1103 E Sherman Ave, Coeur D Alene, ID 83814-4154 | 2007-05-11 |
| 1457427080 | Daniel S Hayes | Psychologist | 2190 W Ironwood Center Dr Ste 2, Coeur D Alene, ID 83814-2695 | 2006-11-27 |
| 1700895893 | Jeffery Thomas Meech | Psychologist | 296 W. Sunset Ave, Ste 15, Coeur D Alene, ID 83815-8366 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164723 | Krystal Anne Wood | Psychologist | 605 E Holly St Apt 206, Boise, ID 83712-7882 | 2020-04-27 |
| 1457993230 | Morgan Mental Health Group LLC | Psychologist | 4600 W Quarterhorse Ln, Meridian, ID 83642-5438 | 2019-10-12 |
| 1346890175 | Robert D Rieske | Psychologist | 921 S 8th Ave Stop 8112, Pocatello, ID 83209-8112 | 2019-09-13 |
| 1366953788 | Timothy L Bowers | Psychologist | 999 S Clear Lake Pl, Eagle, ID 83616-6179 | 2017-10-12 |
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1467994616 | Heather Eskridge Hoyt Phd LLC | Psychologist | 671 E Riverpark Lane Ste 220, Boise, ID 83706-6559 | 2016-11-04 |
| 1144771338 | Heather E Hoyt | Psychologist | 671 E Riverpark Ln, Suite 220, Boise, ID 83706-6559 | 2016-10-22 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1407276850 | Kyla Mcburney-rebol | Psychologist | 550 W. Sunnyside, Suite 1, Idaho Falls, ID 83402 | 2014-04-24 |
| 1659793867 | Kenneth Locke | Psychologist | 121 W Sweet Ave, University of Idaho - Child & Youth Study Center, Moscow, ID 83844-4061 | 2014-01-08 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on DR. JACK ELMO WRIGHT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.